Marisa Virostek, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN205466 Issued in GA

Practice address

31 Rock Fence Cir SE
Cartersville, GA 30121-5278

Phone

(770) 608-5112

NPI assigned

Oct 17, 2022

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theramed Health, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1487056586
  Medicare reassignment NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1437875820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCK FENCE CIR SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301215278",
            "telephone_number": "770-608-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCK FENCE CIR SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301215278",
            "telephone_number": "770-608-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIROSTEK",
        "first_name": "MARISA",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN205466",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "RN205466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marisa.virostek@wellstar.org",
            "affiliation": "N",
            "address_1": "31 Rock Fence Cir SE",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301215278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• VBRX, Inc (Holt's Pharmacy)
• Thammi Raju Vegiraju, M.D.
• Jennifer Kay Vernon, FNP - C
• Village Podiatry Group LLC (Village Podiatry Centers)
• Rebecca Vincent, RD, LD, CLC
• Virtue Recovery House Inc
• Vitae Health Medical Georgia LLC
• Anna Wade, AU.D.
• Christina Louise Wafer, NP-C
• Erin L Wagner, PHARMD

• Primary Care Nurse Practitioner in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.