Individual provider Active NPI

Marisa Shapiro, FNP

  • Family Nurse Practitioner
  • Silver City, NM
National Provider Identifier
1467170266
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
59850 Issued in NM
Practice address
1007 N Pope St
Silver City, NM 88061-5161
Phone
(575) 388-1511
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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 59850 NM Primary

Addresses

Primary practice location

1007 N Pope St
Silver City, NM 88061-5161

Mailing address

1007 N Pope St
Silver City, NM 88061-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, VT, VA, PA4 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
I20221228002083 NM Practitioner - Nurse Practitioner 3476923939 Reassigns benefits to 1 organization
I20250402001985 VT Practitioner - Nurse Practitioner 3476923939
I20251013002284 VA Practitioner - Nurse Practitioner 3476923939 Reassigns benefits to 1 organization
I20260417001748 PA Practitioner - Nurse Practitioner 3476923939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of New Mexico School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Health CenterGroup PAC ID 9537060413, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

109 Clearview Rd
Madison Heights, VA 24572-2600
Phone (434) 455-2480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59850NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hidalgo Medical Services CurrentSince Sep 26, 2022 Accepting new patients
Johnson Health Center CurrentSince Oct 6, 2025 Accepting new patients
Hidalgo Medical Services Current Accepting new patients
Johnson Health Center CurrentSince Oct 6, 2025 Accepting new patients
Hidalgo Medical Services CurrentSince Sep 26, 2022 Accepting new patients

Locations

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

114 W 11th St
Silver City, NM 88061
Phone (575) 388-1511

1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511

320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967

109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400

Organizations & group practices 6

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 4

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1467170266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N POPE ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N POPE ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615161",
            "telephone_number": "575-388-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MARISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "59850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.