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MARISSA MOORE MD
NPI 1295297638
Family Medicine in Mandeville, LA

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
201 SAINT ANN DR STE B, MANDEVILLE, LA 70471(985) 898-4001 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Sep 1, 2022, Apr 4, 2019 (3 updates tracked since 2019).

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 St Tammany Parish Hospital, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1295297638
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARISSA MOORECredential: MD
Location Address201 SAINT ANN DR STE BMandeville, LA 70471-3472
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305
Phone(985) 898-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1295297638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 4301514377✔ Licensed in LA · 333248
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 SAINT ANN DR STE B, Mandeville, LA 70471
Open in Google Maps ↗

Secondary Practice Location 1

Location 1110 E 2nd St Fl 3Royal Oak, MI 48067-2694 · Phone (248) 546-2110 · Fax (248) 546-8176

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

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 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.

PECOS PAC ID244566438
PECOS Enrollment IDI20250925002892
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 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.

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.
151 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

KELSEY ANNE ST. ARNAUD FNP
Nurse Practitioner (Family)
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
MARIA DOLORES ROBERTS M.D.
Family Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 898-4001
GABRIELLE GIVENS
Family Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
DR. CHRISTOPHER RICHARD D.O.
Family Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
LAURA READ NP
Nurse Practitioner
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
DR. CHRISTINE W THURSTON D. O
Internal Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717
SHANNON HAAS M.D.
Family Medicine
201 SAINT ANN DR STE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-1717

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.

What insurance does Marissa Moore accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana 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 St Tammany Parish Hospital and Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Marissa Moore was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.