MS. MARLISA BROWN MS RD CDE CDN
NPI 1871666941
Dietitian, Registered in Bay Shore, NY
About Ms. Marlisa Brown Ms Rd Cde Cdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARLISA BROWN MS RD CDE CDN (NPI 1871666941) is an individual dietitian, registered in Bay Shore, New York, licensed in New York (0006910) and active in the NPI registry since November 2006. She is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Ms. Marlisa Brown Ms Rd Cde Cdn 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.
Medicare Billing Reassignment
Medicare enrollment records show Marlisa Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bay Shore, NY 11706
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BAY SHORE, NY 11706
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 Marlisa Brown's NPI number?
The NPI number for Marlisa Brown is 1871666941. It was assigned to this individual provider in the NPPES registry on November 16, 2006.
Where is Marlisa Brown located?
Marlisa Brown practices at 160 Howells Rd, Bay Shore, NY 11706. The listed phone number is (631) 666-4297.
What is Marlisa Brown's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Marlisa Brown enrolled in Medicare?
Yes. Marlisa Brown 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 organization bills Medicare for Marlisa Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlisa Brown reassigns Medicare benefits to Total Wellness Inc (Bay Shore, NY). The 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 Marlisa Brown'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 Marlisa Brown was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Marlisa Brown, MS RD CDE CDN · NPI 1871666941
Dietitian, Registered provider in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1871666941 (Entity type: Individual)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 0006910 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 HOWELLS RD, Bay Shore, NY 11706
- **Phone:** (631) 666-4297 · **Fax:** (631) 666-5284
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Total Wellness Inc (NPI 1699826263, Bay Shore, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 9096E1 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1871666941) · Data from the CMS NPPES public registry.