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MARISSA MARSH CRNP
NPI 1356036842
Nurse Practitioner - Family in Lehighton, PA

Active since April 10, 2023PECOS EnrolledAccepts Medicare Assignment
363 N 1ST ST, LEHIGHTON, PA 18235(484) 464-9510 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marissa Marsh Crnp NPPES

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

MARISSA MARSH CRNP (NPI 1356036842) is an individual family provider in Lehighton, Pennsylvania, licensed in Pennsylvania (SP027129) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356036842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISSA MARSHCredential: CRNP
Location Address363 N 1ST STLehighton, PA 18235-1450
Mailing Address2100 Mack Blvd Fl 2Allentown, PA 18103-5622 · (484) 884-4500
Phone(484) 464-9510
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1356036842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP027129
363 N 1ST ST, Lehighton, PA 18235
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Marsh Crnp 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 ID5991160087
PECOS Enrollment IDI20230425000152
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

3

Medicare enrollment records show Marissa Marsh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
1.0 mi
Internal Medicine
281 NORTH 12TH STREET, SUITE B, GNADEN HUETTEN PROFESSIONAL BUILDING
Lehighton, PA 18235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1639313224 (610) 377-7793
Schuylkill Health System Medical Group, Inc.
27 mi
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1063073823 (570) 621-9200
Family Care Centers Inc
30 mi
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
NPI 1316409626 (570) 476-3700

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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
185 services153 patients
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.
61 services50 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.
59 services59 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
32 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18235 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 4

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

DAVID THOMAS OGUREK MD
Family Medicine
363 N 1ST ST
LEHIGHTON, PA 18235
Carbon County (484) 464-9510
KENNETH R SHARP DO
Family Medicine
363 N 1ST ST
LEHIGHTON, PA 18235
Carbon County (484) 464-9510
AIMEE MARIE JOHNSON M.D.
Pediatrics
363 N 1ST ST
LEHIGHTON, PA 18235
Carbon County (610) 377-6969
ELENA BRINKER CRNP
Nurse Practitioner (Family)
363 N 1ST ST
LEHIGHTON, PA 18235
Carbon County (610) 379-4980

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 Marsh's NPI number?

The NPI number for Marissa Marsh is 1356036842. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Marissa Marsh located?

Marissa Marsh practices at 363 N 1st St, Lehighton, PA 18235. The listed phone number is (484) 464-9510.

What is Marissa Marsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marissa Marsh enrolled in Medicare?

Yes. Marissa Marsh 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 Marsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Marsh reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Lehighton, PA), Schuylkill Health System Medical Group, Inc. (Pottsville, PA) and Family Care Centers Inc (East Stroudsburg, PA). 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 Marsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Marsh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marissa Marsh 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 Marsh affiliated with any hospitals?

According to CMS data, Marissa Marsh is affiliated with Lehigh Valley Hospital and St Luke's Miners Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marissa Marsh was last updated on April 10, 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.