Individual provider Active NPI

Marisa Brumley, APRN, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1306295332
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131105 Issued in TX
Practice address
1020 Riverwood CT Ste 200
Conroe, TX 77304-2974
Phone
(936) 756-3444
Fax
(936) 756-3452
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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 AP131105 TX Primary

Addresses

Primary practice location

1020 Riverwood CT Ste 200
Conroe, TX 77304-2974

Mailing address

124 Chandler LN
Huntsville, TX 77320-1626
Phone (936) 662-6357

Other practice location 1

133 Medical Park Ln Ste B
Huntsville, TX 77340-4979
Phone (936) 730-8833

Other practice location 2

125 Medical Park Ln Ste C
Huntsville, TX 77340-4957
Phone (936) 291-3219

Other names 1

  • Marisa Palmo Brumley Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170227001378 TX Practitioner - Nurse Practitioner 1456635044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen M Sims MD PAGroup PAC ID 3476655499, 5 clinicians

Practice addresses (Care Compare)

133 Medical Park LN
Suite B
Huntsville, TX 77340-4979
Phone (936) 730-8833

Hospital & facility affiliations

  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093

Merit-based Incentive Payment System (MIPS)

Final score
92.29 of 100Reported as group
Quality
81.37
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M. Sims, MD, PA CurrentSince Feb 17, 2017 Accepting new patients
Stephen M. Sims, MD, PA CurrentSince Feb 17, 2017 Accepting new patients

Locations

1020 Riverwood Ct
Ste 200
Conroe, TX 77304
Phone (936) 703-5086

503 Medical Center Blvd
Ste 110
Conroe, TX 77304
Phone (936) 756-3444

133 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 730-8833

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1306295332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CHANDLER LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773201626",
            "telephone_number": "936-662-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "936-756-3444",
            "fax_number": "936-756-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Medical Park Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404979",
            "country_code": "US",
            "telephone_number": "936-730-8833",
            "fax_number": "936-730-8866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Medical Park Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404957",
            "country_code": "US",
            "telephone_number": "936-291-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMLEY",
        "first_name": "MARISA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "BRUMLEY",
            "middle_name": "PALMO",
            "credential": "APRN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.