Individual provider Active NPI

Marissa Martin, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1497137277
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0134355 Issued in VT
Practice address
231 N Main St
Rutland, VT 05701-2412
Phone
(802) 772-7992
NPI assigned
Jun 29, 2015
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X EL32841 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0134355 VT Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 071823-21 NH

Addresses

Primary practice location

231 N Main St
Rutland, VT 05701-2412

Mailing address

662 Remington Rd
Chester, VT 05143-8519
Phone (802) 631-0099

Other practice location 1

662 Remington Rd
Chester, VT 05143-8519
Phone (802) 631-0099

Other practice location 2

40 Avon St
Keene, NH 03431-3516
Phone (603) 357-4400

Other names 1

  • Marissa Hill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20190826002492 VT Practitioner - Nurse Practitioner 8729316989 Practice locations: Chester, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071823-21NHMDAdult Psychiatric/Mental Health Registered Nurse
EL32841NHMDPsychiatric/Mental Health Nurse Practitioner
101.0134355VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Rutland Hospital, Inc. CurrentSince Sep 28, 2023 Accepting new patients
Community Health Centers of the Rutland Region Inc Current Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince Aug 1, 2025 Accepting new patients
Brattleboro Retreat CurrentSince Jun 26, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Community Health Centers of the Rutland Region, Inc CurrentSince Aug 1, 2025 Accepting new patients
Brattleboro Retreat Past Accepting new patients
Rutland Hospital, Inc. Past Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

1 Anna Marsh Ln
Dummerston, VT 05301

22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700

51 Tennis Way
East Dorset, VT 05253
Phone (802) 366-8195

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

160 Allen St
Rutland, VT 05701

231 N Main St
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1497137277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 REMINGTON RD",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051438519",
            "telephone_number": "802-631-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012412",
            "telephone_number": "802-772-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "662 Remington Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VT",
            "postal_code": "051438519",
            "country_code": "US",
            "telephone_number": "802-631-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Avon St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034313516",
            "country_code": "US",
            "telephone_number": "603-357-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "EL32841",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0134355",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NH",
            "license": "071823-21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "HILL",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.