MS. MARISSA A PETTIT (CNP) – Acute Care Nurse Practitioner, NPI 1831528090

MS. MARISSA A PETTIT (CNP) is a healthcare provider. based in Albuquerque, New Mexico. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CNP-02278 (NM). The NPI Number for MS. MARISSA A PETTIT (CNP) is 1831528090

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARISSA A PETTIT (CNP)
NPI
1831528090
Phone
(505) 272-6646
Address
2211 LOMAS BLVD NE
Enumeration Date
7 November 2013
Last Update Date
5 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5055594495
Graduation Year
2013 (13 years ago)
PAC ID
4587897418
Group Practice PAC ID
9638220833
Professional Enrollment ID
I20140430001868
Address ID
NM871092117AL4610XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,370 NURSE PRACTITIONER in NM

Provider Addresses for MS. MARISSA A PETTIT (CNP)

  • 2211 LOMAS BLVD NE

    ALBUQUERQUE, NM 871062719

    Phone: (505) 272-6646

    Fax: (505) 272-6665

    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 44 Open Payments records for all available years, with a total value of $1,799.

Total Amount is formed as General ($1,799) + Research ($0) + Ownership ($0) = $1,799.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,151).

Total Amount

$1,799

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,799

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2014-04-30

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
I20140430001868INurse PractitionerNMTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes239128$0
View full utilization report →

Insurance plans in this area (ZIP 87106)

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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: 9638220833View full group profile
NameSpecialtyState
Gynecological OncologyUT
Physician AssistantNM
Gynecological OncologyNM
-NM
-FL
H E M A T O L O G Y/ O N C O L O G YNM

Reviews

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Frequently asked questions

Where can patients find MS. MARISSA A PETTIT (CNP)'s NPI?
You can confirm MS. MARISSA A PETTIT (CNP) with NPI 1831528090; it appears in the national provider directory.
Is MS. MARISSA A PETTIT (CNP) active in the national directory?
MS. MARISSA A PETTIT (CNP)'s public NPI profile is in an active state.
Can you summarize MS. MARISSA A PETTIT (CNP)'s specialty in plain language?
Clinically, the directory lists MS. MARISSA A PETTIT (CNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. MARISSA A PETTIT (CNP)'s primary listing?
We display Albuquerque, New Mexico because that is what the record indicates for MS. MARISSA A PETTIT (CNP).
Is MS. MARISSA A PETTIT (CNP) a real provider?
This page reflects official NPPES data for NPI 1831528090. Always confirm identity and privileges with the practice and licensing boards.

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