MARISSA ANN OBERSTADT (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1124512199

MARISSA ANN OBERSTADT (DPM) is a healthcare provider. based in New london, Wisconsin. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 1186-25 (WI). The NPI Number for MARISSA ANN OBERSTADT (DPM) is 1124512199

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA ANN OBERSTADT (DPM)
NPI
1124512199
Phone
Not provided
Address
N2814 SHADY ACRE DR
Enumeration Date
21 June 2018
Last Update Date
12 January 2023

Doctor Profile

Medical School Name
COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Secondary Phone
8889646681
Graduation Year
2018 (8 years ago)
PAC ID
6204237647
Group Practice PAC ID
3375446958
Professional Enrollment ID
I20210623001897
Address ID
WI530054216BR200XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

297 PODIATRY in WI

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Provider Addresses for MARISSA ANN OBERSTADT (DPM)

  • N2814 SHADY ACRE DR

    NEW LONDON, WI 549619136

    Phone:

    Type: Mailing

  • William S. Middleton Memorial Veterans Hospital, 2500, Overlook Terrace, Shorewood Hills, Dane County, Wisconsin, 53705, United States

    MADISON, WI 537052254

    Phone: (608) 256-1901

    Type: Location

  • 200 S EXECUTIVE DR STE 101

    BROOKFIELD, WI 530054216

    Phone: (888) 964-6681

    Fax: (888) 662-0859

    Type: Location

  • N1697 MUNICIPAL DR STE 3

    GREENVILLE, WI 549427701

    Phone: (920) 750-7900

    Fax: (920) 750-7919

    Type: Mailing

  • 209 OAK KNOLL CT

    HORTONVILLE, WI 549449386

    Phone: (920) 851-4057

    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: 2021-06-23

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
I20210623001897IPodiatryWITBD

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
11721Removal of fingernails or toenails, 6 or more nails1,215514$0
G0127Trimming of dystrophic nails, any number972391$0
11720Removal of fingernails or toenails, 1-5 nails807332$0
11055Removal of noncancer thickened skin growth, 1 growth255168$0
11056Removal of noncancer thickened skin growth, 2-4 growths18492$0
View full utilization report →

Insurance plans in this area (ZIP 54961)

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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: 3375446958View full group profile
NameSpecialtyState
P O D I A T R YIN
P O D I A T R YCA
P O D I A T R YWI
P O D I A T R YMA
P O D I A T R YMA
P O D I A T R YIN
P O D I A T R YMA
P O D I A T R YND
P O D I A T R YMN
P O D I A T R YFL

Reviews

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Frequently asked questions

Where can patients find MARISSA ANN OBERSTADT (DPM)'s NPI?
You can confirm MARISSA ANN OBERSTADT (DPM) with NPI 1124512199; it appears in the national provider directory.
Does this profile mean MARISSA ANN OBERSTADT (DPM) is currently active?
Yes — MARISSA ANN OBERSTADT (DPM) appears active in the national provider directory.
Can you summarize MARISSA ANN OBERSTADT (DPM)'s specialty in plain language?
Clinically, the directory lists MARISSA ANN OBERSTADT (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where is MARISSA ANN OBERSTADT (DPM)'s primary listing?
We display New London, Wisconsin because that is what the record indicates for MARISSA ANN OBERSTADT (DPM).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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