Individual provider Active NPI

Marisela Morillo, CRNA

  • Certified Registered Nurse Anesthetist
  • Calais, ME
National Provider Identifier
1508168279
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA213042 Issued in ME
Practice address
24 Hospital LN
Calais, ME 04619-1329
Phone
(207) 214-8045
NPI assigned
Dec 1, 2010
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9404490 FL
Certified Registered Nurse Anesthetist 367500000X 66793 WV
Certified Registered Nurse Anesthetist 367500000X RN785899 PA
Certified Registered Nurse Anesthetist 367500000X RNA213042 ME Primary

Addresses

Primary practice location

24 Hospital LN
Calais, ME 04619-1329

Mailing address

2032 Alta Meadows LN Apt 1112
Delray Beach, FL 33444-1161
Phone (304) 887-8326

Other practice location 1

1000 East Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 808-7850

Other identifiers 2

IdentifierTypeStateIssuer
8249881OtherWVMEDICARE PTAN
3810020292OtherWVMEDICAID

Other names 1

  • Marisela Porras Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151014001778 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022295054 Reassigns benefits to 3 organizations
I20220602002870 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022295054 Reassigns benefits to 3 organizations
I20240923001310 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022295054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-7355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
Quality
83.54
Promoting interoperability
94.52
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9404490FLMDCertified Registered Nurse Anesthetist
RNA213042MEMDCertified Registered Nurse Anesthetist
RN785899PAMDCertified Registered Nurse Anesthetist
66793WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Geisinger Clinic CurrentSince Jul 11, 2024 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2016 Accepting new patients
Down East Community Hospital CurrentSince Apr 1, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 21, 2017 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 21, 2017 Accepting new patients
Calais Community Hospital CurrentSince Mar 1, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jul 11, 2024 Accepting new patients
Northern Maine Medical Center CurrentSince Jul 12, 2021 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Apr 22, 2016 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Ocala Anesthesia Ams LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2020 Accepting new patients
Down East Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Calais Community Hospital CurrentSince Mar 1, 2023 Accepting new patients
Northern Maine Medical Center CurrentSince Jul 12, 2021 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered PastSince Jan 4, 2021 Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

900 Village Square Xing
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 346-7698

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

1117 N Olive Ave
Ste 201
West Palm Beach, FL 33401
Phone (561) 327-7492

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations & group practices 17

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 17

Hospital & facility affiliations 10

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1508168279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 ALTA MEADOWS LN APT 1112",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441161",
            "telephone_number": "304-887-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "207-214-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 East Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110027",
            "country_code": "US",
            "telephone_number": "570-808-7850",
            "fax_number": "570-808-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORILLO",
        "first_name": "MARISELA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9404490",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "66793",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN785899",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA213042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8249881",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "3810020292",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISELA",
            "last_name": "PORRAS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calais, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.