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Marisa Nicole Horak

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6801 Dixie Hwy Ste 135, Louisville, KY 40258-3952

PECOS Enrollment

This provider is enrolled in PECOS as MARISA HORAK.

Based on the most recent information from CMS, provider Marisa Nicole Horak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1174388540
Provider Type
Individual
Full Name
Horak, Marisa Nicole
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
2/15/2024
Last Updated
11/21/2025

Contact Information

Practice Location

6801 Dixie Hwy Ste 135, Louisville, KY 40258-3952

(502) 791-8700

(502) 742-8523

Mailing Location

7951 Shoal Creek Blvd Ste 300, Austin, TX 78757-7582

(512) 584-8404

(737) 377-0442

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 4011461 Kentucky

Marisa Nicole Horak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

White, Celeste Magen

Brown, Sarah Faye

Elm, Katelin H

Cull, Elizabeth Ann

Trudeau, Kirsten Taylor

Cook, Krystal

Clark, Shana Marie

Wilbert, Charles Zachary

Rodgers, Olga Marie

Suarez Guerra, Gretchell Delacaridad