DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD) – Family Medicine Physician, NPI 1144297516

DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 292453 (MA). The NPI Number for DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD) is 1144297516

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD)
NPI
1144297516
Phone
(617) 724-6610
Address
50 STANIFORD ST FL 9
Enumeration Date
3 March 2006
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ALBERTA, FACULTY OF MEDICINE
Secondary Phone
5089926553
Graduation Year
1995 (31 years ago)
PAC ID
0547212300
Group Practice PAC ID
7214848811
Professional Enrollment ID
I20230605001900
Address ID
MA027406232NE874XXSTXX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

Provider Addresses for DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD)

  • 50 STANIFORD ST FL 9

    BOSTON, MA 021142506

    Phone: (617) 724-6610

    Fax: (603) 929-1196

    Type: Mailing

  • 50 Staniford St Fl 9

    Boston, MA 021142506

    Phone: (617) 724-6610

    Fax: (603) 929-1196

    Type: Location

  • Holland Way, Haynes Corner, Exeter, Rockingham County, New Hampshire, 03833, United States

    EXETER, NH 038332997

    Phone: (603) 929-1195

    Fax: (603) 929-1196

    Type: Mailing

  • 879, Lafayette Road, Hampton, Rockingham County, New Hampshire, 03842, United States

    HAMPTON, NH 03842

    Phone: (603) 929-1195

    Fax: (603) 929-1196

    Type: Location

  • 900 S ELISEO DR STE 201

    GREENBRAE, CA 949042153

    Phone: (415) 461-1780

    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: 2023-06-05

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
I20230605001900IFamily PracticeMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes118100$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 7214848811View full group profile
NameSpecialtyState
Family PracticeMA
Family PracticePA
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Pediatric MedicinePA
Physician AssistantMA
Nurse PractitionerMD

Reviews

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Frequently asked questions

Where can patients find DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD)'s NPI?
You can confirm DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD) with NPI 1144297516; it appears in the national provider directory.
Is DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD) currently active in the NPI registry?
CMS-published data lists DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD) as an active registrant.
What does DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD) treat or focus on?
Patients typically see DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD)'s primary listing?
We display Boston, Massachusetts because that is what the record indicates for DR. MARISSA CASTRO FERNANDEZ KIEMELE (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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