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

Marissa Michael Mack, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1497146195

Marissa Michael Mack, CNP is a Nurse Practitioner in Mayfield Heights, Ohio. Qualified in 2014, 12 years ago. Practices with Ravi Krishnan MD LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone: (440) 312-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 17067 (OH)

Record details

NPI number1497146195
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 17, 2015
Last updated in NPPESFebruary 17, 2015
Mailing address6559 Wilson Mills Rd, Cleveland, OH 44143-6402

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ravi Krishnan Md Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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