MRS. MARISSA ANNE ONTIS (FNP-C) – Family Nurse Practitioner, NPI 1629704929
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. MARISSA ANNE ONTIS (FNP-C)
523 S Main St
Carrollton, IL 620161256
Phone: (217) 942-3326
Fax: (217) 942-9833
Type: Location
414 S State St
Roodhouse, IL 620821544
Phone: (217) 589-4383
Fax: (217) 589-4409
Type: Location
2 Myrtle
Hardin, IL 620471002
Phone: (618) 576-9407
Fax: (618) 576-2260
Type: Location
270 Maple Summit Rd
Jerseyville, IL 620522004
Phone: (618) 498-7108
Fax: (618) 498-7919
Type: Location
709 N MAIN ST
BRIGHTON, IL 620121045
Phone: (618) 623-2836
Type: Mailing
400 MAPLE SUMMIT RD STE 200
JERSEYVILLE, IL 620522028
Phone: (618) 498-4325
Fax: (618) 498-9898
Type: Location
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 620522000
Phone: (618) 498-7518
Fax: (618) 498-3052
Type: Mailing
1 MEMORIAL DR # G-181
ALTON, IL 620026722
Phone: (618) 433-4066
Fax: (618) 433-7060
Type: Mailing
1 MEMORIAL DR # G181
ALTON, IL 620026755
Phone: (618) 433-7066
Fax: (618) 433-7060
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $540.
Total Amount is formed as General ($540) + Research ($0) + Ownership ($0) = $540.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Medtronic, Inc. ($331).
Total Amount
$540
General + Research + Ownership
Payments
10
Total payment records
General Amount
$540
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $331 |
| Organogenesis Inc. | $121 |
| Urgo Medical North America, LLC | $32 |
| Kerecis Limited | $22 |
| Elite Orthopedics, LLC | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221007000155 | I | Nurse Practitioner | IL | TBD |
| I20250919003707 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 842 | 341 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 100 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 77 | $0 |
| 29580 | Strapping, unna boot | 58 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 50 | 50 | $0 |
Insurance plans in this area (ZIP 62016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | IL | |
| Family Practice | IL | |
| U R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Physician Assistant | IL |
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