MARISSA KRYSTAL SENISE
NPI 1124508874
Nurse Practitioner - Adult Health in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

Active since August 21, 2018PECOS EnrolledAccepts Medicare Assignment

1 GUSTAVE L LEVY PL, NEW YORK, NY 10029(212) 241-9502 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marissa Krystal Senise NPPES

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

MARISSA KRYSTAL SENISE (NPI 1124508874) is an individual adult health provider in New York, New York, licensed in New York (308901) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124508874

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARISSA KRYSTAL SENISE

Location Address1 GUSTAVE L LEVY PLNew York, NY 10029-6504

Mailing Address61 Closter RdPalisades, NY 10964-1528 · (201) 835-9632

Phone(212) 241-9502

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 21, 2018

✔ NPI 1124508874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 308901

1 GUSTAVE L LEVY PL, New York, NY 10029

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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

Marissa Krystal Senise 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 ID2062805476

PECOS Enrollment IDI20220208001109

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330024

LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.