Individual provider Active NPI

Marissa S Parker

  • Family Nurse Practitioner
  • Reynoldsburg, OH
National Provider Identifier
1699497180
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021231884 Issued in OH
Practice address
2227 Baltimore-Reynoldsburg Rd D
Reynoldsburg, OH 43068
Phone
(614) 335-9988
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021231884 OH Primary

Addresses

Primary practice location

2227 Baltimore-Reynoldsburg Rd D
Reynoldsburg, OH 43068

Mailing address

2227 Baltimore-Reynoldsburg Rd
Reynoldsburg, OH 43068

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ivxhealth.com/locations/columbus/pickerington/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20221118000902 OH Practitioner - Nurse Practitioner 5597133769 Reassigns benefits to 2 organizations

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
Mount Carmel Health SystemGroup PAC ID 6709793367, 84 clinicians

Practice addresses (Care Compare)

477 Cooper Rd
Suite 300
Westerville, OH 43081-8057
Phone (614) 898-8808

5300 N Meadows Dr
Grove City, OH 43123-2546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
62.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021231884OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Jun 30, 2024 Accepting new patients
Mount Carmel Health System CurrentSince Jun 30, 2024 Accepting new patients
Infusion Express of Ohio PA Co CurrentSince Sep 28, 2022 Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

5300 N Meadows Dr
Ste 1900
Grove City, OH 43123
Phone (614) 663-2450

2756 London Groveport Rd
Grove City, OH 43123
Phone (614) 347-0215

2227 State Route 256
Ste D
Reynoldsburg, OH 43068
Phone (614) 335-9988

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686

Interoperability endpoints

  • Direct secure messaging: mparker1153229@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1699497180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 BALTIMORE-REYNOLDSBURG RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "43068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 BALTIMORE-REYNOLDSBURG RD D",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "43068",
            "telephone_number": "614-335-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARISSA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2021231884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ivxhealth.com/locations/columbus/pickerington/",
            "affiliation": "N",
            "address_1": "2227 Baltimore-Reynoldsburg Rd D",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.