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MARISSA GONZALEZ
NPI 1780461285
Nurse Practitioner - Family in Lido Beach, NY

Active since September 11, 2023PECOS Enrolled
253 FAIRWAY RD, LIDO BEACH, NY 11561(516) 384-5149 Get Directions Write a Review

NPPES record last updated: April 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Gonzalez NPPES

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

MARISSA GONZALEZ (NPI 1780461285) is an individual family provider in Lido Beach, New York, licensed in New York (351300) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780461285
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISSA GONZALEZ
Location Address253 FAIRWAY RDLido Beach, NY 11561-4802
Mailing Address253 Fairway RdLido Beach, NY 11561-4802 · (516) 384-5149
Phone(516) 384-5149
Sole ProprietorYes
Enumeration DateSeptember 11, 2023
Last NPPES UpdateApril 28, 2024
NPPES CertifiedApril 28, 2024
✔ NPI 1780461285 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 NY · 351300
253 FAIRWAY RD, Lido Beach, NY 11561
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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 Gonzalez 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 11561 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Gonzalez's NPI number?

The NPI number for Marissa Gonzalez is 1780461285. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Marissa Gonzalez located?

Marissa Gonzalez practices at 253 Fairway Rd, Lido Beach, NY 11561. The listed phone number is (516) 384-5149.

What is Marissa Gonzalez's specialty?

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

Is Marissa Gonzalez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Marissa Gonzalez was last updated on April 28, 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.