Marisa Crommett Stevens

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

081681-23 Issued in NH

Practice address

443 Congress St FL 2
Portland, ME 04101-3531

Phone

(866) 476-1321

Fax

(802) 660-9437

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Planned Parenthood of Northern New England, IncGroup PAC ID 8729069505, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

Practice roles

Locations

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.

• Planned Parenthood of Northern New England, Inc

  dba Planned Parenthood

  • Obstetrics & Gynecology Physician
  • Colchester, VT
  • NPI 1578529350

  ME, NH

  Medicare reassignment Care Compare group NPD
• Planned Parenthood of Northern New England

  • Non-Pharmacy Dispensing Site
  • Portland, ME
  • NPI 1467843946
  NPD (past)
• Feminist Health Center of Portsmouth, Inc

  • Ambulatory Family Planning Facility
  • Greenland, NH
  • NPI 1376619585
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1104461151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HERCULES DR STE 110",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468049",
            "telephone_number": "802-210-5953",
            "fax_number": "802-660-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 CONGRESS ST FL 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013531",
            "telephone_number": "866-476-1321",
            "fax_number": "802-660-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARISA",
        "middle_name": "CROMMETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "081681-23",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "081681-23",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NH",
            "license": "081681-23",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "081681-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122699",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Eric Sterrer, MD
• Steven S. Shaw, D.M.D., P.C.
• Christine Stevens, LCPC-C
• George Stevens Jr.
• Kerien Stevens
• Monica Hope Stevens, MD
• Reid Derito Stevens I, PH.D.
• Tresa M Stevens, CRNA
• Karen Stevenson
• Austin Steward, MD

• Women's Health Nurse Practitioner in Portland, ME
• Providers in Portland, ME by specialty
• Women's Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.