Active NPI
Marissa Carol Hyatt, AGACNP-BC
- Nurse Practitioner
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5015825
- Practice address
- 134 Medical Park Rd Ste 200
Mooresville, NC 28117-8527 - Phone
- (980) 302-7800
- Fax
- (980) 302-7805
- NPI assigned
- May 28, 2021
- Last updated
- Mar 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5015825 | NC | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 2019015811 | NC |
Addresses
Primary practice location
134 Medical Park Rd Ste 200
Mooresville, NC 28117-8527
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-7800
Other practice location 1
116 Taylors Creek St
Mount Holly, NC 28120-9078
Phone (803) 487-5887
Other practice location 2
106 Corporate Park Dr Ste 200&300
Mooresville, NC 28117-7133
Phone (704) 887-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3521 Graystone PL SE
Suite 202
Conover, NC 28613-8269
Phone (828) 732-5700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5015825 | NC | MD | Nurse Practitioner |
| 2019015811 | NC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Past | Accepting new patients |
Locations
200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-2670
8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024
3521 Graystone Pl SE
Ste 202
Conover, NC 28613
Phone (828) 326-2354
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042
1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500
1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131
106 Corporate Park Dr
Ste 200300
Mooresville, NC 28117
Phone (704) 235-9090
134 Medical Park Rd
Ste 200
Mooresville, NC 28117
Phone (704) 384-7972
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- marisa.hyatt@cvmg.eclinicaldirectplus.com
Organizations & group practices 15
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.
-
dba Catawba Valley Family Care - Catawba
- Family Medicine Physician
- Catawba, NC
- NPI 1790062362
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Cardiovascular Disease Physician
- Hickory, NC
- NPI 1790194322
-
dba Gastroenterology Associates of Catawba Valley-A
- Ambulatory Surgical Clinic/Center
- Hickory, NC
- NPI 1659267359
-
dba Catawba Valley Cardiology
- Cardiovascular Disease Physician
- Conover, NC
- NPI 1750659488
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Mooresville, NC
- NPI 1326611070
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Matthews, NC
- NPI 1477073641
-
dba Novant Health Senior Care
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1700452943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "980-302-7800",
"fax_number": "980-302-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 MEDICAL PARK RD STE 200",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178527",
"telephone_number": "980-302-7800",
"fax_number": "980-302-7805"
}
],
"practiceLocations": [
{
"address_1": "116 Taylors Creek St",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NC",
"postal_code": "281209078",
"country_code": "US",
"telephone_number": "803-487-5887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Corporate Park Dr Ste 200&300",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281177133",
"country_code": "US",
"telephone_number": "704-887-4530",
"fax_number": "704-887-4531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYATT",
"first_name": "MARISSA",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5015825",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "2019015811",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
- Briana Hurley, CCC-SLP
- Elizabeth Cowan Hutcheson, LCSW
- Keren Shultz Hutchinson, LMBT
- Sabrina Chabot Hutchinson
- HWMD Medical Professionals PLLC
- Phil Franklin Icard II, PHD
- Imf2, Inc. (In Motion Fitness Physical Therapy Associates)
- Eva A Imperial, MD
- Independent Nephrology Services, Inc. (INS - Iredell County)
- Indx Solutions, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.