Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marissa Rose Dimambro, DNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457131336

Dr. Marissa Rose Dimambro, DNP, PMHNP-BC is a Nurse Practitioner in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 2023, 3 years ago. Practices with Motor City Medical Group PLLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
3
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1300 Broadway St Ste 400
Detroit, MI 48226-2202
Phone: (248) 805-4821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704329820 (MI)

Record details

NPI number1457131336
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 29, 2023
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Motor City Medical Group Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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