MARISSA LYNETTE COMMODORE CRNA
NPI 1881264356
Nurse Anesthetist, Certified Registered in Stone Mountain, GA
About Marissa Lynette Commodore Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA LYNETTE COMMODORE CRNA (NPI 1881264356) is an individual nurse anesthetist, certified registered in Stone Mountain, Georgia, licensed in Georgia (RN264280) and active in the NPI registry since June 2021. She is affiliated with Emory University Hospital Midtown and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Marissa Lynette Commodore Crna 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 Reassignments
10Medicare enrollment records show Marissa Commodore reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Conyers, GA 30012
- Reassigned Medicare billing, Georgia enrollment
- 57 clinicians in this Medicare group
Snellville, GA 30078
- Reassigned Medicare billing, Georgia enrollment
- 75 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 713 clinicians in this Medicare group
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 6 clinicians in this Medicare group
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 14 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 28 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 489 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 468 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAPiedmont Rockdale Hospital
Acute Care Hospitals · Conyers, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Commodore's NPI number?
The NPI number for Marissa Commodore is 1881264356. It was assigned to this individual provider in the NPPES registry on June 28, 2021.
Where is Marissa Commodore located?
Marissa Commodore practices at 5357 Windfern Ct, Stone Mountain, GA 30088. The listed phone number is (770) 875-3080.
What is Marissa Commodore's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Marissa Commodore enrolled in Medicare?
Yes. Marissa Commodore 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 Marissa Commodore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Commodore reassigns Medicare benefits to 10 organizations: The Emory Clinic Inc (Atlanta, GA), Rockdale Anesthesia Services, P.C. (Conyers, GA), Advanced Urology Anesthesia, LLC (Snellville, GA), Piedmont Anesthesia LLC (Stockbridge, GA), Primary Anesthesia LLC (Fayetteville, GA) and 5 more organizations, listed in the Medicare section above. 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 Marissa Commodore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marissa Commodore accept?
Health plans from Oscar Health and Oscar Insurance Company list Marissa Commodore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Marissa Commodore affiliated with any hospitals?
According to CMS data, Marissa Commodore is affiliated with Emory University Hospital Midtown and Piedmont Rockdale Hospital.
When was this NPI record last updated?
The NPPES record for Marissa Commodore was last updated on May 23, 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.
# Marissa Lynette Commodore, CRNA · NPI 1881264356
Nurse Anesthetist, Certified Registered physician in Stone Mountain, Georgia. Individual provider, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1881264356 (Entity type: Individual)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN264280 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5357 WINDFERN CT, Stone Mountain, GA 30088-3329
- **Phone:** (770) 875-3080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Rockdale Anesthesia Services, P.C. (NPI 1619028396, Conyers, GA); Advanced Urology Anesthesia, LLC (NPI 1215365242, Snellville, GA); Piedmont Anesthesia LLC (NPI 1700474244, Stockbridge, GA); Primary Anesthesia LLC (NPI 1427640317, Fayetteville, GA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881264356) · Data from the CMS NPPES public registry.