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

Marissa Paige Mahan, DNP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1215531264

Marissa Paige Mahan, DNP, FNP-BC is a Nurse Practitioner in Chatham, Illinois. Qualified in 2020, 6 years ago. Practices with Memorial Physician Services, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
6
Licensed in
IL, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone: (217) 483-3487
Fax: (217) 483-8150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209021387 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2020014749 (MO)

Record details

NPI number1215531264
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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