Marisha Rampertaap Retalis, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11004093 Issued in FL

Practice address

677 Connecticut Ave
Norwalk, CT 06854-1645

Phone

(941) 705-0292

NPI assigned

Sep 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CT Medical Group Inc.Group PAC ID 9739663105, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CT Medical Group Inc.

  • Family Medicine Physician
  • East Haven, CT
  • NPI 1962265934
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1659921161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15404 ANCHORAGE PL",
            "city": "LAKEWOOD RCH",
            "state": "FL",
            "postal_code": "342025601",
            "telephone_number": "941-705-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541645",
            "telephone_number": "941-705-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 3rd Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342081013",
            "country_code": "US",
            "telephone_number": "941-705-0292",
            "fax_number": "941-741-8632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETALIS",
        "first_name": "MARISHA",
        "middle_name": "RAMPERTAAP",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11004093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Renzulli, APRN
• Alexandra Repaci, LMFT
• Lonnie Resnick, DPM
• Respiratory Associates PC
• Ilana Belle Ressler, MD
• Retina Specialists of Connecticut PLLC
• Patrick Kevin Reville, MD
• Libby Burr Revis
• Margarita V Revzin, M.D.
• Paulette Patricia Reyes Cabral, MD

• Nurse Practitioner in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.