Individual provider Active NPI

Marissa Jill Diescher, FNP

  • Family Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1154084028
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352569 Issued in NY
Practice address
900 Route 376 Ste H
Wappingers Falls, NY 12590-6496
Phone
(845) 204-9260
Fax
(845) 204-9257
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352569 NY Primary

Addresses

Primary practice location

900 Route 376 Ste H
Wappingers Falls, NY 12590-6496

Mailing address

245 Goff Rd
Livingston Manor, NY 12758-5728

Other practice location 1

1862 Pleasantville Rd
Briarcliff Manor, NY 10510-1051
Phone (845) 204-9500

Other practice location 2

572 Route 6
Mahopac, NY 10541-4787
Phone (845) 204-9260

Other practice location 3

3144 East Main St
Mohegan Lake, NY 10547-1054
Phone (845) 204-9500

Other practice location 4

645 Marble Ave
Thornwood, NY 10594-1062
Phone (845) 204-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230927002420 NY Practitioner - Nurse Practitioner 8921452798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashraf Medical Group PLLCGroup PAC ID 1850560830, 30 clinicians

Practice addresses (Care Compare)

900 Route 376
Suite H
Wappingers Falls, NY 12590-6496
Phone (845) 204-9260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashraf Medical Group PLLC CurrentSince Sep 1, 2023 Accepting new patients
Westchester Health Associates, P.L.L.C Past Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC PastSince Sep 1, 2024 Accepting new patients

Locations

1862 Pleasantville Rd
Briarcliff Manor, NY 10510
Phone (845) 204-9500

999 Route 6
Mahopac, NY 10541
Phone (845) 628-8700

572 Route 6
Mahopac, NY 10541
Phone (845) 519-2295

3144 E Main St
Mohegan Lake, NY 10547
Phone (845) 204-9500

3144 E Main St
Ste 2C
Mohegan Lake, NY 10547

26 Winslow Gate Rd
Bldg C2
Poughkeepsie, NY 12601

696 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 454-8200

645 Marble Ave
Thornwood, NY 10594
Phone (845) 204-9500

900 Route 376
Ste H
Wappingers Fl, NY 12590
Phone (845) 204-9500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1154084028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 GOFF RD",
            "city": "LIVINGSTON MANOR",
            "state": "NY",
            "postal_code": "127585728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 376 STE H",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906496",
            "telephone_number": "845-204-9260",
            "fax_number": "845-204-9257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1862 PLEASANTVILLE RD",
            "address_purpose": "LOCATION",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101051",
            "country_code": "US",
            "telephone_number": "845-204-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "572 Route 6",
            "address_purpose": "LOCATION",
            "city": "Mahopac",
            "state": "NY",
            "postal_code": "105414787",
            "country_code": "US",
            "telephone_number": "845-204-9260",
            "fax_number": "845-204-9257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3144 EAST MAIN ST",
            "address_purpose": "LOCATION",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471054",
            "country_code": "US",
            "telephone_number": "845-204-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Marble Ave",
            "address_purpose": "LOCATION",
            "city": "Thornwood",
            "state": "NY",
            "postal_code": "105941062",
            "country_code": "US",
            "telephone_number": "845-204-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIESCHER",
        "first_name": "MARISSA",
        "middle_name": "JILL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.