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MARISA REIDEMEISTER
NPI 1235813148
Student in an Organized Health Care Education/Training Program in Longmeadow, MA

Active since June 12, 2023PECOS EnrolledAccepts Medicare Assignment
588 LONGMEADOW ST, LONGMEADOW, MA 01106(508) 837-1430 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marisa Reidemeister NPPES

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

MARISA REIDEMEISTER (NPI 1235813148) is an individual student in an organized health care education/training program in Longmeadow, Massachusetts and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235813148
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISA REIDEMEISTER
Location Address588 LONGMEADOW STLongmeadow, MA 01106-2292
Mailing Address588 Longmeadow StLongmeadow, MA 01106-2292 · (508) 837-1430
Phone(508) 837-1430
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1235813148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
588 LONGMEADOW ST, Longmeadow, MA 01106
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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 and accepts Medicare assignment

Marisa Reidemeister 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 ID2961908942
PECOS Enrollment IDI20250929003977
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.

Hospital Affiliations CMS Care Compare

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

MS. MAIA LAINE BONI
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
EUNNINDY DELLS SANON
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (603) 556-2151
CLARA BANG
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (800) 782-7284
NADYA FITSUM
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
KRUTI PATEL
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
TANNER JAMES BLANK
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1317
SHEIDA KARAMNEJAD
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
ALLISON NAYOUNG LEE
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 693-4242

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 Marisa Reidemeister's NPI number?

The NPI number for Marisa Reidemeister is 1235813148. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Marisa Reidemeister located?

Marisa Reidemeister practices at 588 Longmeadow St, Longmeadow, MA 01106. The listed phone number is (508) 837-1430.

What is Marisa Reidemeister's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marisa Reidemeister enrolled in Medicare?

Yes. Marisa Reidemeister 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.

Is Marisa Reidemeister affiliated with any hospitals?

According to CMS data, Marisa Reidemeister is affiliated with Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Marisa Reidemeister was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.