MARISSA MOORE MD
NPI 1295297638
Family Medicine in Mandeville, LA
About Marissa Moore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA MOORE MD (NPI 1295297638) is an individual family medicine provider in Mandeville, Louisiana, licensed in Michigan (4301514377) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Marissa Moore Md 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
4Medicare enrollment records show Marissa Moore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mandeville, LA 70471
- Reassigned Medicare billing, Louisiana enrollment
- 4,559 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 75 clinicians in this Medicare group
Terrytown, LA 70056
- Reassigned Medicare billing, Louisiana enrollment
- 417 clinicians in this Medicare group
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 1,886 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70471 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1295297638. It was assigned to this individual provider in the NPPES registry on April 4, 2019.
Where is Marissa Moore located?
Marissa Moore practices at 201 Saint Ann Dr Ste B, Mandeville, LA 70471. The listed phone number is (985) 898-4001.
What is Marissa Moore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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 4 organizations: Ochsner Clinic LLC (Mandeville, LA), St Tammany Parish Hospital Service District No 1 (Covington, LA), Belle Chasse Physician Services LLC (Terrytown, LA) and Henry Ford Health System (Detroit, MI). 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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CHRISTUS Health Plan and Priority Health 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.
Is Marissa Moore affiliated with any hospitals?
According to CMS data, Marissa Moore is affiliated with Henry Ford Health Hospital.
When was this NPI record last updated?
The NPPES record for Marissa Moore was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.
# Marissa Moore, MD · NPI 1295297638
Family Medicine physician in Mandeville, Louisiana. Individual provider, active in the CMS NPPES registry since April 4, 2019.
## Identity
- **NPI:** 1295297638 (Entity type: Individual)
- **Enumerated:** April 4, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301514377 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 SAINT ANN DR STE B, Mandeville, LA 70471-3472
- **Phone:** (985) 898-4001
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Ochsner Clinic LLC (NPI 1346789138, Mandeville, LA); St Tammany Parish Hospital Service District No 1 (NPI 1083793582, Covington, LA); Belle Chasse Physician Services LLC (NPI 1245653237, Terrytown, LA); Henry Ford Health System (NPI 1003990318, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295297638) · Data from the CMS NPPES public registry.