MARISSA PAIGE MAHAN DNP, FNP-BC
NPI 1215531264
Nurse Practitioner - Family in Chatham, IL

Active since November 30, 2020PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
101 E PLUMMER BLVD, CHATHAM, IL 62629(217) 483-3487(217) 483-8150 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2021, Nov 30, 2020 (2 updates tracked since 2020).

About Marissa Paige Mahan Dnp, Fnp-bc NPPES

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

MARISSA PAIGE MAHAN DNP, FNP-BC (NPI 1215531264) is an individual family provider in Chatham, Illinois, licensed in Illinois (209021387) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215531264
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISSA PAIGE MAHANCredential: DNP, FNP-BC
Location Address101 E PLUMMER BLVDChatham, IL 62629-8047
Mailing Address101 E Plummer BlvdChatham, IL 62629-8047 · (217) 483-3487 · Fax (217) 483-8150
Fax(217) 483-8150
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 30, 2020
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1215531264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 209021387 Licensed in MO · 2020014749
101 E PLUMMER BLVD, Chatham, IL 62629

Other Names 1

Former Name (1)Marissa Paige Hollis

Other Identifiers 1

Other041443199IL · Rn License

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 Paige Mahan Dnp, Fnp-bc 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 ID9133531650
PECOS Enrollment IDI20211115000048
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62629 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Other Providers at the Same Location NPPES 19

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

Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Nurse Practitioner (Family)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Pharmacy (Community/Retail Pharmacy)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Physical Therapist
101 E PLUMMER BLVD
CHATHAM, IL 62629
Nurse Practitioner (Family)
101 E PLUMMER BLVD
CHATHAM, IL 62629

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215531264, enumerated as an "individual" on November 30, 2020.

The provider is located at 101 E PLUMMER BLVD CHATHAM, IL 62629 and the phone number is (217) 483-3487.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Marissa Mahan is affiliated with: MEMORIAL MEDICAL CENTER.