Marcy Parisi, NP
Individual provider Active NPI Family Nurse Practitioner · Dowagiac, MI
NPI 1326460924 · NPPES record last updated May 13, 2020
Key facts
- NPI
- 1326460924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704336810 (MI)
- Practice address
- 32652 Kno Drive
Dowagiac, MI 49047 - Phone
- (269) 782-4141
- Fax
- (269) 783-1236
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pokagon Band of Potawatomi Indians
Practice addresses (Care Compare)
32652 Kno
Dowagiac, MI 49047-9805
Phone (269) 782-4141
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
- Corewell Health Watervliet Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.89 of 100
- Quality
- 100
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 76.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171109001636 | TX | Practitioner - Nurse Practitioner | 9739311788 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28175294A | IN | MD | Family Nurse Practitioner |
| 71004756A | IN | MD | Family Nurse Practitioner |
| 4704336810 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pokagon Band of Potawatomi Indians | Current |
Accepting new patients |
Locations
32652 Kno
Dowagiac, MI 49047
Phone (269) 782-4141
58620 Sink Rd
Dowagiac, MI 49047
Phone (269) 782-4141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004756A | IN | |
| Family Nurse Practitioner | 363LF0000X | 28175294A | IN | |
| Family Nurse Practitioner | 363LF0000X | 4704336810 | MI | Yes |
Addresses
Primary practice location
32652 Kno Drive
Dowagiac, MI 49047
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201211670 | Medicaid | IN | |
| 000000862002 | Other | IN | BCBS BMG E BLAIR WARNER |
Other providers in Dowagiac, MI
- Michael Allen Oisten
- Thomas Akinyi Ongwela
- Claudine Marie Osborne
- Gregory N Otto
- Sangeeta Pal
- Nancy Joan Patano
- Jashubhai N Patel
- Jitendrakumar Patel
- Nadzieja Nicole Pocheki
- Pokagon Band of Potawatomi Indians
All providers in Dowagiac, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.