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

Marissa Adele Restivo

Individual provider Nurse Practitioner · NPI 1689266793

Marissa Adele Restivo is a Nurse Practitioner in Perrysburg, Ohio. Qualified in 2021, 5 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Ohio.

Years since qualifying
5
Licensed in
MI, OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1103 Village Square Dr Ste 100
Perrysburg, OH 43551-1762
Phone: (567) 368-3213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0030045 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704322696 (MI)

Record details

NPI number1689266793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing address1103 Village Square Dr Ste 100, Perrysburg, OH 43551-1762

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 Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

Other providers in Perrysburg