DR. MARISSA MICHELLE MOULTRIE M.D.
NPI 1235591769
Family Medicine in Stafford, VA
About Dr. Marissa Michelle Moultrie M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARISSA MICHELLE MOULTRIE M.D. (NPI 1235591769) is an individual family medicine provider in Stafford, Virginia, licensed in Virginia (0101265808) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Medical University Of South Carolina College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Marissa Michelle Moultrie M.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22554 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STAFFORD, VA 22554
STAFFORD, VA 22554
STAFFORD, VA 22554
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 Moultrie's NPI number?
The NPI number for Marissa Moultrie is 1235591769. It was assigned to this individual provider in the NPPES registry on March 23, 2016.
Where is Marissa Moultrie located?
Marissa Moultrie practices at 125 Hospital Center Blvd Ste 110, Stafford, VA 22554. The listed phone number is (540) 602-6500.
What is Marissa Moultrie's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Marissa Moultrie enrolled in Medicare?
Yes. Marissa Moultrie 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 Moultrie was last updated on June 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Marissa Michelle Moultrie, M.D. · NPI 1235591769
Family Medicine physician in Stafford, Virginia. Individual provider, active in the CMS NPPES registry since March 23, 2016.
## Identity
- **NPI:** 1235591769 (Entity type: Individual)
- **Enumerated:** March 23, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101265808 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 125 HOSPITAL CENTER BLVD STE 110, Stafford, VA 22554-6202
- **Phone:** (540) 602-6500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** June 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235591769) · Data from the CMS NPPES public registry.