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

Marissa Catherine Genovese, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629805742

Marissa Catherine Genovese, PMHNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with Boulder Care Provider Group PA, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina, New Mexico, New York and Ohio.

Years since qualifying
2
Licensed in
NC, NM, NY, OH
In the registry since
2024
Specialties on file
7
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

111 SW Naito Pkwy
Portland, OR 97204-3512
Phone: (888) 316-0451
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5020970 (NC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN-CNP89303 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2024041601 (NC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence F405932 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 849209 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN.CNP.0042090 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 373407 (NC)

Record details

NPI number1629805742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 14, 2024
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Boulder Care Provider Group Pa — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Portland