Individual provider Active NPI

Marissa Pyle, DO

  • Family Medicine Physician
  • Carlisle, IA
National Provider Identifier
1770935322
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05176 Issued in IA
Practice address
2755 Gateway Dr
Carlisle, IA 50047-2302
Phone
(515) 358-7300
Fax
(515) 358-7341
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R10733 IA
Family Medicine Physician 207Q00000X DO-05176 IA Primary

Addresses

Primary practice location

2755 Gateway Dr
Carlisle, IA 50047-2302

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-7300

Other practice location 1

5900 E University Ave Ste 100
Pleasant Hill, IA 50327-8467
Phone (515) 643-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009002534 IA Practitioner - Family Practice 2668766676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

2006 N 4TH St
Indianola, IA 50125-4500

307 E Scenic Valley Ave
Indianola, IA 50125-4865

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-05176IAMDFamily Medicine Physician
R10733IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics Inc CurrentSince Sep 17, 2018 Accepting new patients
Mercy Clinics, Inc. CurrentSince Sep 17, 2018 Accepting new patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients

Locations

800 E 1st St
Ste 1700
Ankeny, IA 50021
Phone (515) 643-8100

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

2755 Gateway Dr
Carlisle, IA 50047
Phone (515) 358-7300

1350 Des Moines St
Ste 110
Des Moines, IA 50309
Phone (515) 358-6500

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

1601 NW 114th St
Ste 230
Des Moines, IA 50325
Phone (515) 222-7728

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

307 E Scenic Valley Ave
Indianola, IA 50125
Phone (515) 961-8448

5900 E University Ave
Ste 100
Pleasant Hill, IA 50327
Phone (515) 643-2400

Interoperability endpoints

  • Direct secure messaging: mpyle3955799@direct.trinity-health.org

Organizations & group practices 3

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 4

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1770935322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-358-7300",
            "fax_number": "515-358-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 GATEWAY DR",
            "city": "CARLISLE",
            "state": "IA",
            "postal_code": "500472302",
            "telephone_number": "515-358-7300",
            "fax_number": "515-358-7341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 E University Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "IA",
            "postal_code": "503278467",
            "country_code": "US",
            "telephone_number": "515-643-2400",
            "fax_number": "515-643-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYLE",
        "first_name": "MARISSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R10733",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, IA

Sources for this page

Verify at the official NPI Registry.