Look up the most recent NPI and PECOS records

Marissa Colthirst

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Marissa Colthirst 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 6 days ago.

Profile Details

Provider ID
1477957991
Provider Type
Individual
Full Name
Colthirst, Marissa
Title
Mrs.
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/13/2014
Last Updated
4/1/2024

Contact Information

Practice Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

(615) 235-9725

Mailing Location

4 Ryan Rd, Cvs Minute Clinic, Marlboro, NJ 07746

(866) 389-2727

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ00525200 New Jersey

Marissa Colthirst

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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