Individual provider Active NPI

Marissa L Brosmer, NP-C

  • Family Nurse Practitioner
  • Jasper, IN
National Provider Identifier
1497303572
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009300A Issued in IN
Practice address
440 Scott Rolen Drive
Jasper, IN 47546
Phone
(812) 482-5656
NPI assigned
Aug 30, 2019
Last updated
Apr 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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 71009300A IN
Family Nurse Practitioner 363LF0000X 71009300A IN Primary

Addresses

Primary practice location

440 Scott Rolen Drive
Jasper, IN 47546

Mailing address

5877 W 500N
Jasper, IN 47546-9800
Phone (812) 639-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20191022002935 IN Practitioner - Nurse Practitioner 5597097691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, shared by 8 NPIs, 140 clinicians

Practice addresses (Care Compare)

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

440 Scott Rolen Dr
Jasper, IN 47546-2700
Phone (812) 482-5656

5066 N 900
Coutry Health Center
Montgomery, IN 47558-5790
Phone (812) 486-3396

600 S State Rd 57 a
Memorial Health Washington
Washington, IN 47501-4371
Phone (812) 257-1052

600 S State Rd 57 B
Memorial Health Washington
Washington, IN 47501-4371
Phone (812) 674-4040

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188

92 W Christmas Blvd
Santa Claus, IN 47579-6044
Phone (812) 937-4120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009300AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Sep 10, 2019 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Sep 10, 2019 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner CurrentSince Sep 10, 2019 Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

679 S State Road 145
French Lick, IN 47432
Phone (812) 481-7200

440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

92 W Christmas Blvd
Santa Claus, IN 47579
Phone (812) 482-5656

600 S State Road 57
Ste B
Washington, IN 47501
Phone (812) 674-4040

Interoperability endpoints

  • Direct secure messaging: mbrosmer1056345@direct.deaconess.com

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1497303572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 W 500N",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469800",
            "telephone_number": "812-639-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SCOTT ROLEN DRIVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "47546",
            "telephone_number": "812-482-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSMER",
        "first_name": "MARISSA",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009300A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009300A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.