Marissa Sanchez Leal, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144411 Issued in TX

Practice address

2413 Memorial Pkwy
Portland, TX 78374-3209

Phone

(361) 643-4546

Fax

(361) 758-2137

NPI assigned

Dec 23, 2019

Sex

Female

Sole proprietor

No

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 TX

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Bend Wellness Foundation IncGroup PAC ID 9931422649, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Coastal Bend Wellness Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Corpus Christi, TX
  • NPI 1144523671

  TX

  Medicare reassignment Care Compare group NPD
• Coastal Bend Wellness Foundation Inc.

  • Community/Retail Pharmacy
  • Corpus Christi, TX
  • NPI 1689131625
  NPD

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1265071260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 MEMORIAL PKWY",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743209",
            "telephone_number": "361-643-4546",
            "fax_number": "361-758-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 MEMORIAL PKWY",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743209",
            "telephone_number": "361-643-4546",
            "fax_number": "361-758-2137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294801",
            "country_code": "US",
            "telephone_number": "210-614-8612",
            "fax_number": "210-615-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "MARISSA",
        "middle_name": "SANCHEZ",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "694380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elysa King, LPC
• Rebecca Ann Kraatz, PH.D.
• Laura Moore Krol, PT
• Karen Laskowski, APRN-NP
• Dai Le, PHARMD
• Jerome Lee Sang, MD
• Ashley Myers Lee
• John David Lerma, PT, DPT
• Ricardo Leveck Jr., PHARM.D.
• Kim Marie Lindsey, SLP

• All providers in Portland, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.