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MARISSA SINSABAUGH NP
NPI 1376210179
Nurse Practitioner in Gilbert, AZ

Active since August 27, 2021PECOS EnrolledAccepts Medicare Assignment
90.18/100
CMS Quality Rating
1410 W GUADALUPE RD STE 125, GILBERT, AZ 85233(480) 838-1914(480) 838-9434 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Aug 27, 2021 (2 updates tracked since 2021).

About Marissa Sinsabaugh Np NPPES

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

MARISSA SINSABAUGH NP (NPI 1376210179) is an individual nurse practitioner in Gilbert, Arizona, licensed in Arizona (341689) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Madison Regional Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376210179
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARISSA SINSABAUGHCredential: NP
Location Address1410 W GUADALUPE RD STE 125Gilbert, AZ 85233-3041
Mailing Address1410 W Guadalupe Rd Ste 125Gilbert, AZ 85233-3041 · (480) 838-1914 · Fax (480) 838-9434
Phone(480) 838-1914
Fax(480) 838-9434
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 27, 2021
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1376210179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 341689
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License R051964 (SD)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP002132 (SD)
1410 W GUADALUPE RD STE 125, Gilbert, AZ 85233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.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 Sinsabaugh Np 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 ID9436548765
PECOS Enrollment IDI20211108001986
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 Marissa Sinsabaugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Desert Interventional Spine Consultants
Same address
Specialist
1410 W GUADALUPE RD STE 125
Gilbert, AZ 85233
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
NPI 1154651750 (480) 838-1914
Madison Community Hospital
1,078 mi
Critical Access
323 SW 10TH ST
Madison, SD 57042
  • Reassigned Medicare billing, South Dakota enrollment
  • 84 clinicians in this Medicare group
NPI 1588644058 (605) 256-6551

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Madison Regional Health System

Critical Access Hospitals · Madison, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431300
Location323 SW 10th StMadison, SD 57042 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85233 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.69
Improvement Activities40
Cost91.67

Other Providers at the Same Location NPPES

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

DESERT INTERVENTIONAL SPINE CONSULTANTS
Specialist
1410 W GUADALUPE RD STE 125
GILBERT, AZ 85233
Maricopa County (480) 838-1914

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 Sinsabaugh's NPI number?

The NPI number for Marissa Sinsabaugh is 1376210179. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Marissa Sinsabaugh located?

Marissa Sinsabaugh practices at 1410 W Guadalupe Rd Ste 125, Gilbert, AZ 85233. The listed phone number is (480) 838-1914.

What is Marissa Sinsabaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marissa Sinsabaugh enrolled in Medicare?

Yes. Marissa Sinsabaugh 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 Sinsabaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Sinsabaugh reassigns Medicare benefits to 2 organizations: Desert Interventional Spine Consultants (Gilbert, AZ) and Madison Community Hospital (Madison, SD). 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 Sinsabaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Sinsabaugh accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Marissa Sinsabaugh 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 Sinsabaugh affiliated with any hospitals?

According to CMS data, Marissa Sinsabaugh is affiliated with Madison Regional Health System.

When was this NPI record last updated?

The NPPES record for Marissa Sinsabaugh was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.