Active NPI
Marissa Nicole Simon, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 136180
- Practice address
- 732 Eden Way N # 534
Chesapeake, VA 23320-2798 - Phone
- (757) 828-4259
- NPI assigned
- May 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 136180 | VA | Primary |
Addresses
Primary practice location
732 Eden Way N # 534
Chesapeake, VA 23320-2798
Mailing address
732 Eden Way N # 534
Chesapeake, VA 23320-2798
Phone (757) 828-4259
Other practice location 1
134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone (757) 473-0044
Other practice location 2
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1031 Loftis Blvd
Newport News, VA 23606-2981
Phone (757) 736-9898
1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 473-0055
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.76 of 100
- Quality
- 78.69
- Improvement activities
- 40
- Cost
- 74.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136180 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| SMG Anesthesia Specialists LLC | Current | Accepting new patients | |
| Atlantic Anesthesia, Inc | Current | Accepting new patients | |
| Goodwin & Snyder Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ambulatory Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577
3920A Bridge Rd
Suffolk, VA 23435
Phone (757) 983-0000
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044
1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323
5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1720181514
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1720192230
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Williamsburg, VA
- NPI 1508391129
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1194488791
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1760066450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 EDEN WAY N # 534",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202798",
"telephone_number": "757-828-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 EDEN WAY N # 534",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202798",
"telephone_number": "757-828-4259"
}
],
"practiceLocations": [
{
"address_1": "134 Business Park Dr",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234626523",
"country_code": "US",
"telephone_number": "757-473-0044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "MARISSA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "136180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Robert A Simmons, D.D.S., M.A.G.D.
- Susan Allison Simmons, NURSE PRACTITIONER
- Taquisa Katina Simmons, LCSW, CSAC
- Kashina Annette Simms, LCSW
- Ruchita Sebastian Simoes, M.D.
- Simple Accommodations LLC
- Simply Grace Healthcare Services LLC
- Simplycare Home Health Care LLC
- Denise Simpson, LCSW
- Stephanie Simpson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.