MARISSA SURDY – Nurse Practitioner, NPI 1023701083

MARISSA SURDY is a healthcare provider. based in Sparks, Maryland. specializing in NURSE PRACTITIONER. They hold a License No. SP027358 (PA). The NPI Number for MARISSA SURDY is 1023701083

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA SURDY
NPI
1023701083
Phone
(443) 383-9300
Address
909 RIDGEBROOK RD STE 300
Enumeration Date
26 May 2023
Last Update Date
26 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4433839300
Graduation Year
2022 (4 years ago)
PAC ID
5799142709
Group Practice PAC ID
1254662695
Professional Enrollment ID
I20230607001151
Address ID
PA190073116BR905XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for MARISSA SURDY

  • 909 RIDGEBROOK RD STE 300

    SPARKS, MD 211529477

    Phone: (443) 383-9300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Smith+Nephew, Inc. ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$42
View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230607001151INurse PractitionerPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes616118$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes9653$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes6868$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3535$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes3011$0
View full utilization report →

Insurance plans in this area (ZIP 21152)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254662695View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerVA
General SurgeryPA
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerVA
Nurse PractitionerMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

Is MARISSA SURDY listed with a National Provider Identifier?
Yes — MARISSA SURDY has NPI 1023701083 on file in the registry.
Would MARISSA SURDY appear as active to a payer?
You can treat MARISSA SURDY as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MARISSA SURDY?
MARISSA SURDY's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Maryland is MARISSA SURDY registered?
Use Sparks, Maryland as the headline location for MARISSA SURDY here.
When was this NPI issued?
Enumeration for MARISSA SURDY is noted as May 26, 2023 where the registry provides it.

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