MS. MARISSA MICHELLE MOORE PMHNP
NPI 1215715784
Nurse Practitioner - Psychiatric/Mental Health in Dublin, OH
About Ms. Marissa Michelle Moore Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARISSA MICHELLE MOORE PMHNP (NPI 1215715784) is an individual psychiatric/mental health provider in Dublin, Ohio, licensed in Ohio (APRN.CNP.0037466) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Marissa Michelle Moore Pmhnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marissa Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dublin, OH 43017
- Reassigned Medicare billing, Ohio enrollment
- 6 clinicians in this Medicare group
Mount Vernon, OH 43050
- Reassigned Medicare billing, Ohio enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DUBLIN, OH 43017
DUBLIN, OH 43017
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 Moore's NPI number?
The NPI number for Marissa Moore is 1215715784. It was assigned to this individual provider in the NPPES registry on September 18, 2023.
Where is Marissa Moore located?
Marissa Moore practices at 5060 Bradenton Ave Ste A, Dublin, OH 43017. The listed phone number is (216) 407-1647.
What is Marissa Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Marissa Moore enrolled in Medicare?
Yes. Marissa Moore 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.
Which organizations bill Medicare for Marissa Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Moore reassigns Medicare benefits to 2 organizations: Ketamine Health & Wellness Clinics Of Ohio LLC (Dublin, OH) and Quest Recovery Center, LLC (Mount Vernon, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marissa Moore accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Marissa Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Marissa Moore was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Ms. Marissa Michelle Moore, PMHNP · NPI 1215715784
Psychiatric/Mental Health physician in Dublin, Ohio. Individual provider, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1215715784 (Entity type: Individual)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN.CNP.0037466 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5060 BRADENTON AVE STE A, Dublin, OH 43017-3511
- **Phone:** (216) 407-1647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ketamine Health & Wellness Clinics Of Ohio LLC (NPI 1053005116, Dublin, OH); Quest Recovery Center, LLC (NPI 1104450063, Mount Vernon, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215715784) · Data from the CMS NPPES public registry.