Active NPI
Marissa Faith Wyatt, CRNA
- Certified Registered Nurse Anesthetist
- Sebastian, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11014736
- Practice address
- 13695 US Highway 1
Sebastian, FL 32958-3230 - Phone
- (772) 589-3196
- Fax
- (321) 843-2196
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 883594 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 120273 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11014736 | FL | Primary |
Addresses
Primary practice location
13695 US Highway 1
Sebastian, FL 32958-3230
Mailing address
13695 US Highway 1
Sebastian, FL 32958-3230
Phone (772) 589-3196
Other practice location 1
13695 US Highway 1
Sebastian, FL 32958-3230
Phone (772) 589-3186
Other practice location 2
1910 Malvern Ave
Hot Springs, AR 71901
Phone (501) 321-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117204000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL, TX
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (722) 589-3186
Hospital & facility affiliations
- Orlando Health Sebastian River Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 883594 | TX | MD | Registered Nurse |
| 120273 | AR | MD | Certified Registered Nurse Anesthetist |
| APRN11014736 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Oak Endoscopy Center, LLC | Current | Accepting new patients | |
| Ouachita Regional Anesthesia PLLC | Current | Accepting new patients | |
| Vero Anesthesia | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Steward Anesthesiology Physicians of Florida Inc. | Current | Accepting new patients |
Locations
1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000
8820 Knoedl Ct
Little Rock, AR 72205
Phone (501) 224-6767
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
275 18th St
Ste 101
Vero Beach, FL 32960
Phone (772) 299-5005
1325 36th St
Ste B
Vero Beach, FL 32960
Phone (772) 589-0331
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Ambulatory Surgical Clinic/Center
- Vero Beach, FL
- NPI 1548254402
-
- Anesthesiology Physician
- Sebastian, FL
- NPI 1336786029
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Vero Beach, FL
- NPI 1417242405
-
- Anesthesiology Physician
- Hot Springs, AR
- NPI 1982699153
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1073076931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13695 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583230",
"telephone_number": "772-589-3196",
"fax_number": "321-843-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13695 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583230",
"telephone_number": "772-589-3196",
"fax_number": "321-843-2196"
}
],
"practiceLocations": [
{
"address_1": "13695 US Highway 1",
"address_purpose": "LOCATION",
"city": "Sebastian",
"state": "FL",
"postal_code": "329583230",
"country_code": "US",
"telephone_number": "772-589-3186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1910 Malvern Ave",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "AR",
"postal_code": "71901",
"country_code": "US",
"telephone_number": "501-321-1000",
"fax_number": "501-620-2336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYATT",
"first_name": "MARISSA",
"middle_name": "FAITH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "883594",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "120273",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11014736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117204000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.