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MRS. MARISSA NICOLE RUEBHAUSEN NP-C
NPI 1962994483
Nurse Practitioner - Family in Kankakee, IL

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
375 N WALL ST STE P520, KANKAKEE, IL 60901(815) 932-6632(815) 932-5760 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 29, 2021, Jun 23, 2020, Sep 26, 2019 (3 updates tracked since 2019).

About Mrs. Marissa Nicole Ruebhausen Np-c NPPES

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

MRS. MARISSA NICOLE RUEBHAUSEN NP-C (NPI 1962994483) is an individual family provider in Kankakee, Illinois, licensed in Illinois (209017604) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains a secondary practice location in Bourbonnais.

NPPES Registry Identity

NPI1962994483
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARISSA NICOLE RUEBHAUSENCredential: NP-C
Location Address375 N WALL ST STE P520Kankakee, IL 60901-3493
Mailing Address375 N Wall St Ste P520Kankakee, IL 60901-3493 · (815) 932-6632 · Fax (815) 932-5760
Phone(815) 932-6632
Fax(815) 932-5760
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 31, 2018
Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1962994483 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 IL · 209017604
375 N WALL ST STE P520, Kankakee, IL 60901
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Marissa Nicole Collier Np-c

Secondary Practice Location 1

Location 1400 Riverside Dr Ste 1600Bourbonnais, IL 60914-5406 · Phone (815) 802-7090 · Fax (815) 802-7091

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

Mrs. Marissa Nicole Ruebhausen Np-c 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.

PECOS PAC ID5597097030
PECOS Enrollment IDI20191101000931
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marissa Ruebhausen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside Health System
0.2 mi
Psychiatry
500 N WALL ST, SUITE 200
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1336354430 (815) 937-1237
Decatur Memorial Hospital
104 mi
General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1164477725 (217) 876-2868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services41 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
27 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALYCE F JACKSON MD
Physical Medicine & Rehabilitation
375 N WALL ST STE P520
KANKAKEE, IL 60901
Kankakee County (815) 932-6632
DR. EKUA BAIDUA GILBERT-BAFFOE MD
Physical Medicine & Rehabilitation
375 N WALL ST STE P520
KANKAKEE, IL 60901
Kankakee County (815) 932-6632
MED PEDS ASSOCIATES
Non-Pharmacy Dispensing Site
375 N WALL ST STE P520
KANKAKEE, IL 60901
Kankakee County (815) 933-0194

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 Ruebhausen's NPI number?

The NPI number for Marissa Ruebhausen is 1962994483. It was assigned to this individual provider in the NPPES registry on May 31, 2018. The provider is also known as Ms. Marissa Nicole Collier Np-C.

Where is Marissa Ruebhausen located?

Marissa Ruebhausen practices at 375 N Wall St Ste P520, Kankakee, IL 60901. The listed phone number is (815) 932-6632.

What is Marissa Ruebhausen's specialty?

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

Is Marissa Ruebhausen enrolled in Medicare?

Yes. Marissa Ruebhausen 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 Ruebhausen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Ruebhausen reassigns Medicare benefits to 2 organizations: Riverside Health System (Kankakee, IL) and Decatur Memorial Hospital (Decatur, IL). 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 Ruebhausen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marissa Ruebhausen affiliated with any hospitals?

According to CMS data, Marissa Ruebhausen is affiliated with Decatur Memorial Hospital, Memorial Medical Center and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Marissa Ruebhausen was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.