MARISA CROMMETT STEVENS – Women's Health Nurse Practitioner, NPI 1104461151
Women's Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,048 NURSE PRACTITIONER in NH
Provider Addresses for MARISA CROMMETT STEVENS
443 CONGRESS ST
FL 2
PORTLAND, ME 041013531
Phone: (866) 476-1321
Type: Mailing
559 PORTSMOUTH AVE
GREENLAND, NH 038402251
Phone: (603) 436-7588
Type: Location
784 HERCULES DR STE 110
COLCHESTER, VT 054468049
Phone: (802) 210-5953
Fax: (802) 660-9438
Type: Mailing
443 CONGRESS ST FL 2
PORTLAND, ME 041013531
Phone: (866) 476-1321
Fax: (802) 660-9437
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-12-02
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 |
|---|---|---|---|---|
| I20201015001394 | I | Nurse Practitioner | ME | TBD |
| I20201202001706 | I | Nurse Practitioner | NH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | VT | |
| - | VT | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| - | VT | |
| Nurse Practitioner | MA | |
| Certified Nurse Midwife (Cnm) | NY | |
| Certified Nurse Midwife (Cnm) | VT |
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