Individual provider Active NPI

Marisa Ratliff, FNP

  • Nurse Practitioner
  • Chestertown, MD
National Provider Identifier
1881378362
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F06230210 Issued in MD
Practice address
7416 Church Hill Rd
Chestertown, MD 21620-2808
Phone
(410) 787-4000
NPI assigned
Jun 14, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F06230210 MD Primary

Addresses

Primary practice location

7416 Church Hill Rd
Chestertown, MD 21620-2808

Mailing address

7416 Church Hill Rd
Chestertown, MD 21620-2808
Phone (410) 498-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230823002305 MD Practitioner - Nurse Practitioner 3476916552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Urgent Care LLCGroup PAC ID 6608255682, 9 clinicians
Eastern Shore Primary Care Practice LLCGroup PAC ID 5698120111, 4 clinicians

Practice addresses (Care Compare)

7416 Church Hill Rd
Chestertown, MD 21620-2808
Phone (410) 498-4848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06230210MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Primary Care Practice LLC CurrentSince Oct 4, 2025 Accepting new patients
Eastern Shore Urgent Care LLC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients

Locations

7416 Church Hill Rd
Chestertown, MD 21620
Phone (410) 498-4848

7416 Church Hill Rd
Ste 2
Chestertown, MD 21620
Phone (410) 498-4848

Interoperability endpoints

  • Direct secure messaging: marisa.ratliff.1@29780.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1881378362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202808",
            "telephone_number": "410-498-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7416 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202808",
            "telephone_number": "410-787-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "MARISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "F06230210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.