MARISA ANNE KONZER NP-C
NPI 1760229108
Nurse Practitioner - Family in Canton, MI

Active since July 12, 2024PECOS EnrolledAccepts Medicare Assignment
45300 CHERRY HILL RD, CANTON, MI 48187(734) 981-3968 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2024, Jul 15, 2024, Jul 12, 2024 (3 updates tracked since 2024).

About Marisa Anne Konzer Np-c NPPES

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

MARISA ANNE KONZER NP-C (NPI 1760229108) is an individual family provider in Canton, Michigan, licensed in Michigan (4704342989) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2023).

NPPES Registry Identity

NPI1760229108
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISA ANNE KONZERCredential: NP-C
Location Address45300 CHERRY HILL RDCanton, MI 48187-5073
Mailing Address2207 Mace AveRoyal Oak, MI 48067-2311
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2023
Enumeration DateJuly 12, 2024
Last NPPES UpdateJuly 26, 20243 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1760229108 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 MI · 4704342989
45300 CHERRY HILL RD, Canton, MI 48187

Other Names 1

Former Name (1)Marisa Anne Polsinelli

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

Marisa Anne Konzer Np-c 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 ID2466992250
PECOS Enrollment IDI20240906003781
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 Marisa Konzer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
39350 9 MILE RD
Northville, MI 48167
  • Reassigned Medicare billing, Michigan enrollment
  • 79 clinicians in this Medicare group
Family
39350 9 MILE RD
Northville, MI 48167
  • Reassigned Medicare billing, Michigan enrollment
  • 36 clinicians in this Medicare group

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

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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 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.

Nurse Practitioner (Family)
45300 CHERRY HILL RD
CANTON, MI 48187
Nurse Practitioner (Family)
45300 CHERRY HILL RD
CANTON, MI 48187
Nurse Practitioner (Family)
45300 CHERRY HILL RD
CANTON, MI 48187
Nurse Practitioner (Family)
45300 CHERRY HILL RD
CANTON, MI 48187
Nurse Practitioner (Family)
45300 CHERRY HILL RD
CANTON, MI 48187
Nurse Practitioner (Family)
45300 CHERRY HILL RD
CANTON, MI 48187
Pharmacist
45300 CHERRY HILL RD
CANTON, MI 48187
Nurse Practitioner (Family)
45300 CHERRY HILL RD
CANTON, MI 48187

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 Konzer's NPI number?

The NPI number for Marisa Konzer is 1760229108. It was assigned to this individual provider in the NPPES registry on July 12, 2024. The provider is also known as Marisa Anne Polsinelli.

Where is Marisa Konzer located?

Marisa Konzer practices at 45300 Cherry Hill Rd, Canton, MI 48187. The listed phone number is (734) 981-3968.

What is Marisa Konzer's specialty?

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

Is Marisa Konzer enrolled in Medicare?

Yes. Marisa Konzer 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 Marisa Konzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Konzer reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Michigan PC (Northville, MI) and Minuteclinic Primary Care-Michigan PLLC (Northville, MI). 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 Marisa Konzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marisa Konzer was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.