MARISSA MCNELLY LE (DPM) – Podiatrist, NPI 1295149391

MARISSA MCNELLY LE (DPM) is a healthcare provider. based in Mauston, Wisconsin. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 41000316A (IN). The NPI Number for MARISSA MCNELLY LE (DPM) is 1295149391

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA MCNELLY LE (DPM)
NPI
1295149391
Phone
(608) 847-6161
Address
1050 DIVISION ST
Enumeration Date
17 June 2014
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8776741211
Graduation Year
2014 (12 years ago)
PAC ID
8224253414
Group Practice PAC ID
2567822661
Professional Enrollment ID
I20260112001170
Address ID
CO800335111WH3835XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:11State licenses:3Digital endpointsOther names

296 PODIATRY in WI

Provider Addresses for MARISSA MCNELLY LE (DPM)

  • 1050 DIVISION ST

    MAUSTON, WI 539481931

    Phone: (608) 847-6161

    Type: Mailing

  • 1301 E NORTHLAND AVE STE B

    APPLETON, WI 549118582

    Phone: (207) 311-9999

    Fax: (920) 731-3729

    Type: Location

  • 1784 LEYDEN ST

    DENVER, CO 802201624

    Phone: (920) 277-8957

    Type: Mailing

  • 3835 HARLAN ST

    WHEAT RIDGE, CO 800335111

    Phone: (877) 674-1211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-06-08 • Largest payer in this snapshot: Smith+Nephew, Inc. ($22).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2026-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170721001318IPodiatryWITBD
I20260112001170IPodiatryCOTBD

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
73630X-ray of foot, minimum of 3 views4933$0
99213Established patient office or other outpatient visit, 20-29 minutes4127$0
99203New patient office or other outpatient visit, 30-44 minutes3030$0
99212Established patient office or other outpatient visit, 10-19 minutes2621$0
View full utilization report →

Insurance plans in this area (ZIP 53948)

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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: 2567822661View full group profile
NameSpecialtyState
P O D I A T R YTN
P O D I A T R YGA
Nurse PractitionerMO
Nurse PractitionerOK
P O D I A T R YFL
P O D I A T R YNC
Nurse PractitionerLA
P O D I A T R YKY
P O D I A T R YHI
P O D I A T R YIA

Reviews

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Frequently asked questions

Does MARISSA MCNELLY LE (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARISSA MCNELLY LE (DPM) uses 1295149391.
Can I rely on MARISSA MCNELLY LE (DPM) being an active provider?
As of the registry snapshot, MARISSA MCNELLY LE (DPM) is marked active.
What taxonomy line describes MARISSA MCNELLY LE (DPM)?
For research purposes, treat MARISSA MCNELLY LE (DPM) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MARISSA MCNELLY LE (DPM)?
MARISSA MCNELLY LE (DPM)'s geographic hint is Mauston, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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