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

Q: What is Marissa Mahan's NPI number?

The NPI number for Marissa Mahan is 1215531264. It was assigned to this individual provider in the NPPES registry on November 30, 2020. The provider is also known as Marissa Paige Hollis.

Q: What is Marissa Mahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Mahan was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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: August 09, 2026.

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

On this page

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

Phone(217) 483-3487

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

Open in Google Maps ↗

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 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

Quality

74.96

Improvement Activities

Cost

53.06

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.

GUSTAVO MOSQUERA MD

Family Medicine