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MARISA CROMMETT STEVENS
NPI 1104461151
Nurse Practitioner - Women's Health in Portland, ME

Active since November 14, 2019PECOS EnrolledAccepts Medicare Assignment
443 CONGRESS ST FL 2, PORTLAND, ME 04101(866) 476-1321(802) 660-9437 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2021, Sep 8, 2020, Nov 14, 2019 (3 updates tracked since 2019).

About Marisa Crommett Stevens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA CROMMETT STEVENS (NPI 1104461151) is an individual women's health provider in Portland, Maine, licensed in New Hampshire (081681-23) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104461151
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMARISA CROMMETT STEVENS
Location Address443 CONGRESS ST FL 2Portland, ME 04101-3531
Mailing Address784 Hercules Dr Ste 110Colchester, VT 05446-8049 · (802) 210-5953 · Fax (802) 660-9438
Phone(866) 476-1321
Fax(802) 660-9437
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 14, 2019
Last NPPES UpdateSeptember 23, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1104461151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NH · 081681-23
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 081681-23 (NH)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 081681-23 (NH)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 081681-23 (NH)
443 CONGRESS ST FL 2, Portland, ME 04101
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Other Identifiers 1

Medicaid3122699NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa Crommett Stevens is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214357169
PECOS Enrollment IDI20201015001394, I20201202001706
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA FRIEDMAN NP-C
Nurse Practitioner (Family)
443 CONGRESS ST FL 2
PORTLAND, ME 04101
Cumberland County (866) 476-1321
MS. ALISON J BATES NP
Nurse Practitioner (Women's Health)
443 CONGRESS ST FL 2
PORTLAND, ME 04101
Cumberland County (866) 476-1321
WHITNEY SHAW WILLIAMS NP
Nurse Practitioner (Women's Health)
443 CONGRESS ST FL 2
PORTLAND, ME 04101
Cumberland County (207) 797-8881
BRONWYN ELIZABETH SEWELL NP
Nurse Practitioner (Women's Health)
443 CONGRESS ST FL 2
PORTLAND, ME 04101
Cumberland County (207) 797-8881

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 Marisa Stevens's NPI number?

The NPI number for Marisa Stevens is 1104461151. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Marisa Stevens located?

Marisa Stevens practices at 443 Congress St Fl 2, Portland, ME 04101. The listed phone number is (866) 476-1321.

What is Marisa Stevens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Marisa Stevens enrolled in Medicare?

Yes. Marisa Stevens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marisa Stevens accept?

Health plans from Anthem Blue Cross and Blue Shield list Marisa Stevens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisa Stevens was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.