Marisa Friscia, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036147975 Issued in IL

Practice address

200 Richmond Ave E Ste 1
Mattoon, IL 61938-4652

Phone

(217) 234-7000

Fax

(217) 234-7011

NPI assigned

Sep 13, 2007

Last updated

Dec 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.96 of 100Reported as apm

Quality

69.5

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Medicare reassignment NPD
• Marisa Friscia MD

  dba Internal and Wellness, Inc

  • Internal Medicine Physician
  • Bennington, VT
  • NPI 1912002676
  NPD (past) Authorized official
• Sarah Bush Lincoln Health Center

  dba FCH Greenville Family Medicine Clinic

  • Rural Health Clinic/Center
  • Greenville, IL
  • NPI 1811858970
  NPD
• Advanced Radiology P a

  • Diagnostic Radiology Physician
  • Columbia, MD
  • NPI 1922963776
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1568657328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052500061",
            "telephone_number": "802-375-6566",
            "fax_number": "802-375-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RICHMOND AVE E STE 1",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384652",
            "telephone_number": "217-234-7000",
            "fax_number": "217-234-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Church St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VT",
            "postal_code": "052504457",
            "country_code": "US",
            "telephone_number": "802-375-6566",
            "fax_number": "802-375-6828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRISCIA",
        "first_name": "MARISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042.0010507",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0010507",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036147975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009307",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Franklin Ozier, LSW
• Shelby Ann Freeman, M.S., CF-SLP
• Donald E Freesmeier, DC
• Michaela K Frey, APRN
• Jessica Frields
• Amy Jo Fugate, AGPCNP
• Trysten Fugate, BS
• Robin D Gabel, NP
• Rebekah Lyn Gaffin, FNP
• Andrew Robert Gage, M.D.

• Internal Medicine Physician in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.