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Marissa Michael Mack, CNP

NPI 1497146195ActiveIndividual· Nurse Practitioner, Adult Health· Mayfield Heights, OH

Nurse Practitioner, Adult Health (CNP) with Ravi Krishnan MD LLC, practicing in Mayfield Heights, Ohio. Mostly services rather than prescriptions: Medicare paid $41,233 for 201 patients in 2024, with only 30 Part D claims. Lists Cleveland Clinic and 1 other hospital as hospital affiliations.

Overview

NPI1497146195
StatusActive
Entity typeIndividual
CredentialCNP
Sole proprietorNo
NPI issuedFeb 17, 2015
Last updated in NPPESFeb 17, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Adult Health Primary363LA2200X17067OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (OH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients201
Services billed863 across 6 procedure codes
Paid by Medicare$41,233

Part D prescriptions in 2024

Prescriptions (claims)30 · 30 30-day fills
Total drug cost$587.92
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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