Marissa Moore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301514377 Issued in MI

Practice address

201 Saint Ann Dr Ste B
Mandeville, LA 70471-3472

Phone

(985) 898-4001

NPI assigned

Apr 4, 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 LA, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
• St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Medicare reassignment Care Compare group NPD
• Belle Chasse Physician Services LLC

  • Hospitalist Physician
  • Terrytown, LA
  • NPI 1245653237
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • Jennings, LA
  • NPI 1366085367
  NPD
• Henr Y Ford Health System

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1952485351
  NPD
• Henry Ford Health System

  • Physician Assistant
  • Detroit, MI
  • NPI 1811073901
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582

  Hospital

  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1285285874

  Hospital

  Care Compare affiliation
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Care Compare affiliation
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1295297638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT ANN DR STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713472",
            "telephone_number": "985-898-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT ANN DR STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713472",
            "telephone_number": "985-898-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "333248",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301514377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Monteilh, PMHNP-BC
• Patricia J Monteleone,MSW-LCSW, MSW-LCSW
• Stephen Montelepre, M.S., NCC, LPC
• Chloe S Montgomery
• Andrew Montz, M.D.
• Raven Orgeron Moore, MSN, RN
• Sarah B Moran, LCSW, LMFT
• Ashley Diann Morehead
• Michael Louis Morgan Sr.
• Angil Patricia Morris

• Family Medicine Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.