Individual provider Active NPI

Marisa J. Tabalno, NP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1457604316
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1151757 Issued in TX
Practice address
2204E Joe Battle Blvd
El Paso, TX 79938-4659
Phone
(915) 503-1870
NPI assigned
Oct 17, 2012
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-2471 HI
Acute Care Nurse Practitioner 363LA2100X 1151757 TX Primary

Addresses

Primary practice location

2204E Joe Battle Blvd
El Paso, TX 79938-4659

Mailing address

98-1079 Moanalua Rd Ste 630
Aiea, HI 96701-4721
Phone (808) 485-5414

Other practice location 1

98-1079 Moanalua Rd Ste 630
Aiea, HI 96701-4721
Phone (808) 485-5414

Other practice location 2

3-3420 Kuhio Hwy Ste B
Lihue, HI 96766-1098
Phone (808) 245-1500

Other names 1

  • Ms. Marisa J. Moe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, HI, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20121205000074 DC Practitioner - Nurse Practitioner 3678725231 Reassigns benefits to 1 organization
I20151119001643 VA Practitioner - Nurse Practitioner 3678725231 Reassigns benefits to 1 organization
I20181105001776 HI Practitioner - Nurse Practitioner 3678725231 Reassigns benefits to 3 organizations
I20240507001919 TX Practitioner - Nurse Practitioner 3678725231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians
Renaissance Surgery GroupGroup PAC ID 9234384769, 20 clinicians

Practice addresses (Care Compare)

2204 E Joe Battle Blvd
El Paso, TX 79938-4659
Phone (915) 313-6300

2603 W Michaelangelo Dr
Edinburg, TX 78539-1417
Phone (956) 362-8767

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Wound Care Group LLC CurrentSince Dec 1, 2022 Accepting new patients
Renaissance Surgery Group Nurse Practitioner CurrentSince Aug 27, 2025 Accepting new patients
Pali Momi Medical Center CurrentSince Oct 22, 2018 Accepting new patients
Kauai Medical Clinic CurrentSince Feb 12, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 26, 2024 Accepting new patients
Emergency Medicine Physicians of Honolulu Pali Momi, LLC CurrentSince Sep 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 26, 2024 Accepting new patients
Pali Momi Medical Center CurrentSince Oct 22, 2018 Accepting new patients
Kauai Medical Clinic CurrentSince Feb 12, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Bestpractices, Inc. Past Accepting new patients
Bestpractices, Inc. Past Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

98-1079 Moanalua Rd
Ste 630
Aiea, HI 96701
Phone (808) 485-4250

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

4770 N Expressway
Ste 305A
Brownsville, TX 78526
Phone (956) 362-3980

2603 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 362-8767

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2204 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 307-7800

101 N FM 3167
Ste 106
Rio Grande City, TX 78582
Phone (956) 352-1431

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1457604316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 630",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014721",
            "telephone_number": "808-485-5414",
            "fax_number": "808-485-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204E JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384659",
            "telephone_number": "915-503-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-1079 Moanalua Rd Ste 630",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014721",
            "country_code": "US",
            "telephone_number": "808-485-5414",
            "fax_number": "808-485-3022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3-3420 Kuhio Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967661098",
            "country_code": "US",
            "telephone_number": "808-245-1500",
            "fax_number": "808-246-1391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABALNO",
        "first_name": "MARISA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-2471",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1151757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "MOE",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.