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MARISA L EVANS LPC
NPI 1316338502
Counselor - Professional in Green Bay, WI

Active since February 10, 2015PECOS EnrolledAccepts Medicare Assignment
3263 EATON RD, GREEN BAY, WI 54311(920) 433-6700(920) 433-6738 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marisa L Evans Lpc NPPES

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

MARISA L EVANS LPC (NPI 1316338502) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (6408-125) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Green Bay, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316338502
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISA L EVANSCredential: LPC
Location Address3263 EATON RDGreen Bay, WI 54311-6830
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 433-6700
Fax(920) 433-6738
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 10, 2015
Last NPPES UpdateNovember 23, 2022
NPPES CertifiedNovember 23, 2022
✔ NPI 1316338502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 6408-125
3263 EATON RD, Green Bay, WI 54311
Open in Google Maps ↗

Other Names 1

Former Name (1)Marisa L Leisten Lpc

Secondary Practice Location 1

Location 12881 Saint Anthony Dr, Apartment 16Green Bay, WI 54311-4828 · Phone (920) 948-9494

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), UnitedHealthcare.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

Marisa L Evans Lpc 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 ID547610735
PECOS Enrollment IDI20240101000022
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marisa Evans reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Psychiatric Center Inc
Same address
Mental Health (Including Community Mental Health Center)
3263 EATON ROAD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
NPI 1952554800 (920) 445-7222
Bellin Memorial Hospital Inc
Same address
Family Medicine
3263 EATON ROAD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1215189121 (920) 433-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. RACHAEL E. VANDEN LANGENBERG D.O.
Family Medicine
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
ALEXANDER LEE PETERSON D-PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
MS. BARBARA A PESOLA APNP
Nurse Practitioner (Family)
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
NEESHA DAVIES APNP
Nurse Practitioner (Family)
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6000
DR. DAVID FRANKLIN EDWARDS M.D
Family Medicine
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6000
SARAH SUE FORD PT, DPT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
JOSEPH KUCKSDORF PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
ANTHONY JACOB SOBRILSKY PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700

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 Evans's NPI number?

The NPI number for Marisa Evans is 1316338502. It was assigned to this individual provider in the NPPES registry on February 10, 2015. The provider is also known as Marisa L Leisten Lpc.

Where is Marisa Evans located?

Marisa Evans practices at 3263 Eaton Rd, Green Bay, WI 54311. The listed phone number is (920) 433-6700.

What is Marisa Evans's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marisa Evans enrolled in Medicare?

Yes. Marisa Evans 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 Marisa Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Evans reassigns Medicare benefits to 2 organizations: Bellin Psychiatric Center Inc (Green Bay, WI) and Bellin Memorial Hospital Inc (Green Bay, WI). 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 Marisa Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisa Evans accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Marisa Evans 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 Marisa Evans was last updated on November 23, 2022. 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.