Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELISSA LYNN MARINO
NPI 1174358568
Nurse Practitioner - Acute Care in Gideon, MO

Q: What is Melissa Marino's NPI number?

The NPI number for Melissa Marino is 1174358568. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Q: What is Melissa Marino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Marino was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.

Active since September 04, 2024PECOS Enrolled

100 N MAIN ST, GIDEON, MO 63848(870) 838-7300 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Oct 7, 2025, Sep 18, 2025 and 1 more (4 updates tracked since 2024).

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About Melissa Lynn Marino NPPES

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

MELISSA LYNN MARINO (NPI 1174358568) is an individual acute care provider in Gideon, Missouri, licensed in Tennessee (39459) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174358568

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMELISSA LYNN MARINO

Location Address100 N MAIN STGideon, MO 63848-9253

Mailing Address1520 N Division StBlytheville, AR 72315-1448 · (870) 838-7300

Phone(870) 838-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 4, 2024

Last NPPES UpdateJune 22, 20264 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1174358568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in TN · 39459✔ Licensed in AR · 236794✔ Licensed in MO · 2026012430

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 39459 (TN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 N MAIN ST, Gideon, MO 63848

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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 (PECOS)

Melissa Lynn Marino is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274024344

PECOS Enrollment IDI20251117002338, I20260330002903, I20260409001021

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 63848 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 6

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

KERRI LYNCH MSN, FNP-BC

Nurse Practitioner (Family)