Marissa Traub

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71012270A Issued in IN

Practice address

4480 1St Ave
Evansville, IN 47710-3622

Phone

(812) 425-1525

NPI assigned

Feb 14, 2022

Last updated

Feb 16, 2022By the provider in NPPES

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 IN

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matthew 25 AIDS Services IncGroup PAC ID 3375513641, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matthew 25 AIDS Services Inc

  • Clinic/Center
  • Henderson, KY
  • NPI 1457355125

  Family, IN

  Medicare reassignment Care Compare group NPD
• Matthew 25 AIDS Services Inc

  dba Matthew 25 Pharmacy

  • Community/Retail Pharmacy
  • Evansville, IN
  • NPI 1598531691
  NPD

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1801541396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103622",
            "telephone_number": "812-425-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUB",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012270A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole R Toy, MSW LCSW
• David M Tran, DO
• Transitional Services Sub, LLC
• Transitional Services, Inc.
• Rebecca Trapp, BA
• Kelly N Traylor, FNP
• Olivia Treski
• Jayme A Trevino, MSW LCSW
• Karen Trevino, M.D.
• Meghan Elizabeth Trevino, LCSW

• Family Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.