Active NPI
Marisa Allyce Rainey, APRN
- Family Nurse Practitioner
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11022212
- Practice address
- 1111 W Fairbanks Ave
Winter Park, FL 32789-4756 - Phone
- (321) 843-5851
- Fax
- (321) 842-1611
- NPI assigned
- Nov 28, 2022
- Last updated
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11022212 | FL | Primary |
Addresses
Primary practice location
1111 W Fairbanks Ave
Winter Park, FL 32789-4756
Mailing address
1111 W Fairbanks Ave
Winter Park, FL 32789-4756
Phone (321) 843-5851
Other practice location 1
985 State Road 436
Casselberry, FL 32707-5664
Phone (407) 831-5252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7165 Clearvista Way
Indianapolis, IN 46256-4621
Phone (317) 621-5100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.51 of 100
- Quality
- 95.35
- Improvement activities
- 40
- Cost
- 78.59
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11022212 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Medical Associates | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1111 W Fairbanks Ave
Winter Park, FL 32789
Phone (321) 841-1869
1111 W Fairbanks Ave
Ste 110
Winter Park, FL 32789
Phone (321) 841-4371
5819 Reliable Pkwy
Chicago, IL 60686
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041
7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mrainey457368@ecommunitydirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1710932736
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1578273892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W FAIRBANKS AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894756",
"telephone_number": "321-843-5851",
"fax_number": "321-842-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W FAIRBANKS AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894756",
"telephone_number": "321-843-5851",
"fax_number": "321-842-1611"
}
],
"practiceLocations": [
{
"address_1": "985 State Road 436",
"address_purpose": "LOCATION",
"city": "Casselberry",
"state": "FL",
"postal_code": "327075664",
"country_code": "US",
"telephone_number": "407-831-5252",
"fax_number": "407-831-3765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAINEY",
"first_name": "MARISA",
"middle_name": "ALLYCE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11022212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.