MARISSA DIANE WASSERMAN – Anesthesiology Physician, NPI 1386986842

MARISSA DIANE WASSERMAN is a healthcare provider. based in Boston, Massachusetts. specializing in ANESTHESIOLOGY. They hold a License No. 269707 (MA). The NPI Number for MARISSA DIANE WASSERMAN is 1386986842

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA DIANE WASSERMAN
NPI
1386986842
Phone
(617) 732-8210
Address
75 FRANCIS ST
Enumeration Date
22 March 2013
Last Update Date
12 May 2017

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
2016203010
Graduation Year
2013 (13 years ago)
PAC ID
6103045208
Group Practice PAC ID
0446639306
Professional Enrollment ID
I20180905002409
Address ID
NJ088165400EA561XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for MARISSA DIANE WASSERMAN

  • 75 FRANCIS ST

    BOSTON, MA 021156110

    Phone: (617) 732-8210

    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)

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: 2018-09-05

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
I20180905002409IAnesthesiologyNJTBD

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
00142Anesthesia for lens surgery2323$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
00812Anesthesia for exam of colon using an endoscope2020$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1616$0
01230Anesthesia for procedure on upper 2/3rd of thigh bone1313$0
View full utilization report →

Insurance plans in this area (ZIP 02115)

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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: 0446639306View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNJ

Reviews

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Frequently asked questions

Is MARISSA DIANE WASSERMAN listed with a National Provider Identifier?
Yes — MARISSA DIANE WASSERMAN has NPI 1386986842 on file in the registry.
Is MARISSA DIANE WASSERMAN shown as active in public data?
Registry records indicate MARISSA DIANE WASSERMAN maintains an active NPI.
What kind of doctor is MARISSA DIANE WASSERMAN?
MARISSA DIANE WASSERMAN is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MARISSA DIANE WASSERMAN?
Directory geography for MARISSA DIANE WASSERMAN centers on Boston, Massachusetts.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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