MARLISA MANN (MD) – Emergency Medicine Physician, NPI 1164837753

MARLISA MANN (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. DR.0063655 (CO). The NPI Number for MARLISA MANN (MD) is 1164837753

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARLISA MANN (MD)
NPI
1164837753
Phone
(513) 558-5281
Address
3188 BELLEVUE AVE
Enumeration Date
23 June 2014
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6142938305
Graduation Year
2014 (12 years ago)
PAC ID
7214257732
Group Practice PAC ID
2668386673
Professional Enrollment ID
I20170504001579
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for MARLISA MANN (MD)

  • 3188 BELLEVUE AVE

    CINCINNATI, OH 452192369

    Phone: (513) 558-5281

    Fax: (513) 558-5791

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 12605 E 16TH AVE

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • 4777 E Galbraith Rd

    Cincinnati, OH 452362725

    Phone: (513) 558-5281

    Fax: (513) 558-5791

    Type: Location

  • 7700 University Dr

    West Chester, OH 450692505

    Phone: (513) 558-5281

    Fax: (513) 558-5791

    Type: Location

  • 3200 BURNET AVE

    2 RIDGEWAY

    CINCINNATI, OH 452293019

    Phone:

    Type: Mailing

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: 2017-05-04

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
I20170504001579IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making130128$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10096$0
99284Emergency department visit with moderate level of medical decision making9088$0
99291Critical care, first 30-74 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 45219)

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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: 2668386673View full group profile
NameSpecialtyState
Emergency MedicineOH
Internal Medicine, Emergency Medicine, Addiction Medicine, Internal Medicine, HospitalistOH
Sports Medicine, Internal MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Nurse PractitionerOH
Emergency MedicineOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

Does MARLISA MANN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARLISA MANN (MD) uses 1164837753.
Does the file indicate MARLISA MANN (MD) is practicing under active NPI?
Directory data currently reports MARLISA MANN (MD) as active.
What is MARLISA MANN (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for MARLISA MANN (MD) here. Clinical services aligned with this taxonomy classification.
Where is MARLISA MANN (MD) based?
MARLISA MANN (MD) is tied to Cincinnati, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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