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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARISA LEE BRAVO
NPI 1760001093
Internal Medicine in Cleveland, OK

Active since April 16, 2020PECOS Enrolled
1400 W PAWNEE ST, CLEVELAND, OK 74020(918) 358-3588 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 31, 2026, Oct 6, 2025, Apr 16, 2020 (3 updates tracked since 2020).

About Marisa Lee Bravo NPPES

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

MARISA LEE BRAVO (NPI 1760001093) is an individual internal medicine provider in Cleveland, Oklahoma, licensed in Oklahoma (41659) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760001093
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARISA LEE BRAVO
Location Address1400 W PAWNEE STCleveland, OK 74020-3020
Mailing Address1400 W Pawnee StCleveland, OK 74020-3020
Phone(918) 358-3588
Sole ProprietorNo
Enumeration DateApril 16, 2020
Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1760001093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 41659
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1400 W PAWNEE ST, Cleveland, OK 74020
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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)

Marisa Lee Bravo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74020 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 10

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

STEPHANIE ELISE LETNEY D.O.
Family Medicine
1400 W PAWNEE ST
CLEVELAND, OK 74020
Pawnee County (918) 358-3588
CLEVELAND AREA HOSPITAL AUTHORITY
General Practice
1400 W PAWNEE ST
CLEVELAND, OK 74020
Pawnee County (918) 358-3588
DR. BILLY DON SCHUMPERT D.O.
Family Medicine
1400 W PAWNEE ST
CLEVELAND, OK 74020
Pawnee County (918) 358-3588
HEATHER JO MAXWELL ARNP, CPNP
Nurse Practitioner (Pediatrics)
1400 W PAWNEE ST
CLEVELAND, OK 74020
Pawnee County (918) 358-3588
CLEVELAND AREA HOSPITAL HOLDINGS, INC.
Clinic/Center (Rural Health)
1400 W PAWNEE ST
CLEVELAND, OK 74020
Pawnee County (918) 358-3588
DR. WEI-MING LIOU M.D.
Family Medicine
1400 W PAWNEE ST
CLEVELAND, OK 74020
Pawnee County (918) 358-3588
SHAWNA RENEE SHIPMAN ARNP
Nurse Practitioner (Family)
1400 W PAWNEE ST
CLEVELAND, OK 74020
Pawnee County (918) 358-3588
ERIC RAMOS PA-C
Physician Assistant (Surgical)
1400 W PAWNEE ST
CLEVELAND, OK 74020
Pawnee County (918) 358-3588

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 Bravo's NPI number?

The NPI number for Marisa Bravo is 1760001093. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Marisa Bravo located?

Marisa Bravo practices at 1400 W Pawnee St, Cleveland, OK 74020. The listed phone number is (918) 358-3588.

What is Marisa Bravo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marisa Bravo enrolled in Medicare?

Yes. Marisa Bravo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisa Bravo was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.