MARISA D MOLINE APRN, CNP, CBIS
NPI 1962425082
Nurse Practitioner - Family in Buffalo, MN

Q: What is Marisa Moline's NPI number?

The NPI number for Marisa Moline is 1962425082. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Marisa Moline's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marisa Moline was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 26, 2006PECOS Enrolled

1700 HIGHWAY 25 N, BUFFALO, MN 55313(763) 682-1313(763) 581-9090 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2022, Nov 18, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Marisa D Moline Aprn, Cnp, Cbis NPPES

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

MARISA D MOLINE APRN, CNP, CBIS (NPI 1962425082) is an individual family provider in Buffalo, Minnesota, licensed in Minnesota (R 146976-3) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962425082

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARISA D MOLINECredential: APRN, CNP, CBIS

Location Address1700 HIGHWAY 25 NBuffalo, MN 55313-1930

Mailing Address1700 Highway 25 NBuffalo, MN 55313-1930 · (763) 682-1313 · Fax (763) 581-9090

Phone(763) 682-1313

Fax(763) 581-9090

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateAugust 9, 20224 updates tracked since enumeration

NPPES CertifiedOctober 13, 2021

✔ NPI 1962425082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · R 146976-3

Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP1645 (MN), R 146976-3 (MN)

1700 HIGHWAY 25 N, Buffalo, MN 55313

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Other Identifiers 1

Medicaid255489500MN

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 D Moline Aprn, Cnp, Cbis 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 55313 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

DR. CYNTHIA LARSON MD

Internal Medicine