MARISSA CHRISTINE MACEDO NNP
NPI 1104177989
Nurse Practitioner - Neonatal, Critical Care in Portland, OR
About Marissa Christine Macedo Nnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA CHRISTINE MACEDO NNP (NPI 1104177989) is an individual neonatal, critical care provider in Portland, Oregon, licensed in Oregon (201250151NP) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marissa Christine Macedo Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Marissa Macedo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 244 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marissa Macedo's NPI number?
The NPI number for Marissa Macedo is 1104177989. It was assigned to this individual provider in the NPPES registry on September 20, 2012. The provider is also known as Marissa Christine Burch Nnp.
Where is Marissa Macedo located?
Marissa Macedo practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8122.
What is Marissa Macedo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Marissa Macedo enrolled in Medicare?
Yes. Marissa Macedo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marissa Macedo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Macedo reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Peacehealth (Vancouver, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Macedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marissa Macedo was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marissa Christine Macedo, NNP · NPI 1104177989
Neonatal, Critical Care physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 20, 2012.
## Identity
- **NPI:** 1104177989 (Entity type: Individual)
- **Enumerated:** September 20, 2012
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 201250151NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-8122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1376709535, Portland, OR); Peacehealth (NPI 1134178999, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1104177989) · Data from the CMS NPPES public registry.