Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARISA MARTIN FNP-BC
NPI 1871417790
Nurse Practitioner in South Jordan, UT

Q: What is Marisa Martin's NPI number?

The NPI number for Marisa Martin is 1871417790. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Q: What is Marisa Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Martin was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.

Active since August 05, 2026PECOS Enrolled

10808 S RIVER FRONT PKWY STE 3133, SOUTH JORDAN, UT 84095(325) 939-3835 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Marisa Martin Fnp-bc NPPES

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

MARISA MARTIN FNP-BC (NPI 1871417790) is an individual nurse practitioner in South Jordan, Utah, licensed in Utah (12578284-4405) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871417790

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARISA MARTINCredential: FNP-BC

Location Address10808 S RIVER FRONT PKWY STE 3133South Jordan, UT 84095-5759

Mailing Address10808 S River Front Pkwy Ste 3133South Jordan, UT 84095-5759

Phone(325) 939-3835

Sole ProprietorYes

Enumeration DateAugust 5, 2026

NPPES CertifiedAugust 5, 2026

✔ NPI 1871417790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 12578284-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

10808 S RIVER FRONT PKWY STE 3133, South Jordan, UT 84095

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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 Martin Fnp-bc 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 84095 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 Marisa Martin's NPI number?

The NPI number for Marisa Martin is 1871417790. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Where is Marisa Martin located?

Marisa Martin practices at 10808 S River Front Pkwy Ste 3133, South Jordan, UT 84095. The listed phone number is (325) 939-3835.

What is Marisa Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marisa Martin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Marisa Martin was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.