Juliet N Marimira

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2296181 Issued in MA

Practice address

1800 Skyline Dr
Lowell, MA 01854-1458

Phone

(978) 798-9113

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, 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

Merit-based Incentive Payment System (MIPS)

Final score

86.67 of 100Reported as group

Quality

71.18

Improvement activities

40

Cost

75.07

Merit-based Incentive Payment System (MIPS)

Final score

99.02 of 100Reported as group

Quality

90.74

Improvement activities

40

Cost

75.75

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Supportive Behavioral Care of Ma LLC

  • Clinical Psychologist
  • Needham, MA
  • NPI 1780115519
  Medicare reassignment NPD
• Supportive Care of New Hampshire LLC

  • Clinical Psychologist
  • Derry, NH
  • NPI 1013657618
  Medicare reassignment NPD

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1174228159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SKYLINE DR UNIT 4",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SKYLINE DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018541458",
            "telephone_number": "978-798-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIMIRA",
        "first_name": "JULIET",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2296181",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2296181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Anne Marchionda, RD, LDN
• Amanda Logan Marcic
• Lauren A Marcotte
• Kathleen Marcoux
• Keri Ann Maresca, ATC, CSCS
• Yaimarili Marin Avelino, M.S.,BCBA,LABA
• Franklin Charles Marinelli, MD
• Mark Romanowsky MD PC
• Amy L Mark, PHARMD
• Elizabeth Mark, LICSW

• Psychiatric/Mental Health Nurse Practitioner in Lowell, MA
• Providers in Lowell, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.