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MARISSA MOFFITT
NPI 1619810116
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 10, 2026PECOS Enrolled
ATRIUM HEALTH WAKE FOREST BAPTIST, 1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-4311(336) 716-7595 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Moffitt NPPES

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

MARISSA MOFFITT (NPI 1619810116) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619810116
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA MOFFITT
Location AddressATRIUM HEALTH WAKE FOREST BAPTIST, 1 MEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressAtrium Health Wake Forest Baptist, 1 Medical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-4311 · Fax (336) 716-7595
Phone(336) 716-4311
Fax(336) 716-7595
Sole ProprietorNo
Enumeration DateApril 10, 2026
NPPES CertifiedApril 10, 2026
✔ NPI 1619810116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
ATRIUM HEALTH WAKE FOREST BAPTIST, Winston Salem, NC 27157
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Moffitt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ALEXANDRA REARDON
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST, DEPARTMENT OF PSYCHIATRY MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4551
TAYLOR LEE CUNNINGHAM
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST
WINSTON SALEM, NC 27157
Forsyth County (336) 716-3948
ANDREA HILLEN
Nurse Anesthetist, Certified Registered
ATRIUM HEALTH WAKE FOREST BAPTIST
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
BRICE ANDREW BULOTOVICH
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST, 1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-4151

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 Moffitt's NPI number?

The NPI number for Marissa Moffitt is 1619810116. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Where is Marissa Moffitt located?

Marissa Moffitt practices at Atrium Health Wake Forest Baptist 1 Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-4311.

What is Marissa Moffitt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marissa Moffitt enrolled in Medicare?

Yes. Marissa Moffitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

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