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

MS. Marissa Michelle Moore, PMHNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1215715784

MS. Marissa Michelle Moore, PMHNP is a Nurse Practitioner in Dublin, Ohio. Qualified in 2024, 2 years ago. Practices with Quest Recovery Center, LLC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

5060 Bradenton Ave Ste A
Dublin, OH 43017-3511
Phone: (216) 407-1647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0037466 (OH)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 473399 (OH)

Record details

NPI number1215715784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

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 Quest Recovery Center, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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