Individual ProviderMarissa VerranNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address28001 Harper Ave, Saint Clair Shores, MI 48081-1561(586) 772-7180(586) 291-7958PECOS EnrollmentBased on the most recent information from CMS, provider Marissa Verran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1881572766Provider TypeIndividualFull NameVerran, MarissaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date8/26/2025Last Updated8/26/2025Contact InformationPractice LocationPractice Address28001 Harper Ave, Saint Clair Shores, MI 48081-1561Phone(586) 772-7180FaxUnlisted FaxMailing LocationMailing Address51652 Salvatori Dr, Chesterfield, MI 48047-5908Phone(586) 291-7958FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2024095100Michigan