MARISSA ROSE HARRAH NP-C
NPI 1609345370
Nurse Practitioner - Family in Detroit, MI

Q: What is Marissa Harrah's NPI number?

The NPI number for Marissa Harrah is 1609345370. It was assigned to this individual provider in the NPPES registry on November 25, 2018.

Q: What is Marissa Harrah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marissa Harrah was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 25, 2018PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 21, 2019, Nov 25, 2018 (2 updates tracked since 2018).

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About Marissa Rose Harrah Np-c NPPES

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

MARISSA ROSE HARRAH NP-C (NPI 1609345370) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704282487) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Macomb, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609345370

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARISSA ROSE HARRAHCredential: NP-C

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address41205 Redwood CtClinton Township, MI 48038-4619 · (734) 395-7641

Phone(313) 343-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 25, 2018

Last NPPES UpdateMarch 21, 20192 updates tracked since enumeration

✔ NPI 1609345370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704282487

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704282487 (MI)

22101 MOROSS RD, Detroit, MI 48236

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Secondary Practice Location 1

Location 121844 23 Mile RdMacomb, MI 48042-4422 · Phone (586) 840-4916

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Rose Harrah Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880162098

PECOS Enrollment IDI20260506002114

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 Reassignment

Medicare enrollment records show Marissa Harrah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health St. John Hospital

11 mi

Nurse Practitioner

1 FORD PL STE 3A
Detroit, MI 48202

Reassigned Medicare billing, Michigan enrollment
30 clinicians in this Medicare group

NPI 1700831500 (248) 680-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 20

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

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)