Active NPI
Marisa Diamond Jurisic, MSN, FNP-C
- Family Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-154589
- Practice address
- 6300 USA Health Blvd.
Mobile, AL 36608-0020 - Phone
- (251) 633-8880
- Fax
- (251) 633-2817
- NPI assigned
- Jan 15, 2021
- Last updated
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-154589 | AL | Primary |
Addresses
Primary practice location
6300 USA Health Blvd.
Mobile, AL 36608-0020
Mailing address
PO Box 21595
Belfast, ME 04915-4112
Phone (251) 318-2678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6300 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880
Hospital & facility affiliations
- USA Health University Hospital
- USA Health HCA Providence Hospital, LLC
- USA Health Children's & Women's Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.27 of 100
- Quality
- 82.53
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Emergency Physicians, P.C.. | Current | Accepting new patients | |
| University of South Alabama Health Care Authority | Current | Accepting new patients | |
| Imc-Emergency Physicians LLC | Current | Accepting new patients |
Locations
1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950
6300 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880
6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880
Interoperability endpoints
- marisa.jurisic.1@16253.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1508392432
-
- Emergency Medicine Physician
- Fairhope, AL
- NPI 1154378271
-
- Emergency Medicine Physician
- Bay Minette, AL
- NPI 1578048278
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba USA Health Children's & Women's Hospital
- Children's Hospital
- Mobile, AL
- NPI 1023055191
-
dba USA Health University Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1063468072
-
dba USA Health Reference Lab Billing
- General Acute Care Hospital
- Mobile, AL
- NPI 1972138022
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1417546177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21595",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154112",
"telephone_number": "251-318-2678",
"fax_number": "251-405-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 USA HEALTH BLVD.",
"city": "MOBILE",
"state": "AL",
"postal_code": "366080020",
"telephone_number": "251-633-8880",
"fax_number": "251-633-2817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURISIC",
"first_name": "MARISA",
"middle_name": "DIAMOND",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2024-11-05",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-154589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.