Individual provider Active NPI

Marziyeh Viverette, FNP-BC

  • Family Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1952856874
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R204973 Issued in MD
Practice address
238 Merrimac CT
Prince Frederick, MD 20678-6113
Phone
(410) 535-0412
Fax
(833) 963-2035
NPI assigned
Aug 20, 2016
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R204973 MD Primary

Addresses

Primary practice location

238 Merrimac CT
Prince Frederick, MD 20678-6113

Mailing address

238 Merrimac CT
Prince Frederick, MD 20678-6113
Phone (410) 535-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170307002588 MD Practitioner - Nurse Practitioner 2264716448 Reassigns benefits to 1 organization
I20221109002354 DC Practitioner - Nurse Practitioner 2264716448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

90 Ritchie Hwy
Pasadena, MD 21122-4303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
90
Improvement activities
40
Cost
69.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Chesapeake, Inc CurrentSince Jul 2, 2022 Accepting new patients
Hospice of the Chesapeake, Inc CurrentSince Jul 2, 2022 Accepting new patients

Locations

90 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 987-2003

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": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1952856874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 MERRIMAC CT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786113",
            "telephone_number": "410-535-0412",
            "fax_number": "833-963-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MERRIMAC CT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786113",
            "telephone_number": "410-535-0412",
            "fax_number": "833-963-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVERETTE",
        "first_name": "MARZIYEH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R204973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.