MARISSA DAVIS
NPI 1134795362
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since May 28, 2021PECOS EnrolledAccepts Medicare Assignment
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611(312) 754-9404 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Jul 12, 2024, May 28, 2021 (3 updates tracked since 2021).

About Marissa Davis NPPES

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

MARISSA DAVIS (NPI 1134795362) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036.176674) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1134795362
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMARISSA DAVIS
Location Address1 E SUPERIOR ST STE 306Chicago, IL 60611-2595
Mailing Address8701 W Watertown Plank RdMilwaukee, WI 53226-3548
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 28, 2021
Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1134795362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in IL · 036.176674
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 81525-20 (WI)
1 E SUPERIOR ST STE 306, Chicago, IL 60611

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 Davis 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 ID5092110007
PECOS Enrollment IDI20251022003422
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 60611 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 20

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

Psychologist (Clinical Child & Adolescent)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Physician Assistant
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Student in an Organized Health Care Education/Training Program
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Counselor (Professional)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Counselor (Professional)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Physician Assistant
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Counselor (Mental Health)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611

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 Davis's NPI number?

The NPI number for Marissa Davis is 1134795362. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Marissa Davis located?

Marissa Davis practices at 1 E Superior St Ste 306, Chicago, IL 60611. The listed phone number is (312) 754-9404.

What is Marissa Davis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marissa Davis enrolled in Medicare?

Yes. Marissa Davis 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.

When was this NPI record last updated?

The NPPES record for Marissa Davis was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.