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

Marisa Crommett Stevens

Individual provider Adult Health Nurse Practitioner · NPI 1104461151

Marisa Crommett Stevens is a Nurse Practitioner in Portland, Maine. Qualified in 2021, 5 years ago. Practices with Planned Parenthood of Northern New England, Inc, a 42-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
5
Licensed in
NH
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

443 Congress St Fl 2
Portland, ME 04101-3531
Phone: (866) 476-1321
Fax: (802) 660-9437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 081681-23 (NH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 081681-23 (NH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 081681-23 (NH)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 081681-23 (NH)

Record details

NPI number1104461151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2019
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Planned Parenthood Of Northern New England, Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland