Marissa Lynette Commodore, CRNA
NPI 1881264356ActiveIndividual· Nurse Anesthetist, Certified Registered· Stone Mountain, GA
Nurse Anesthetist, Certified Registered (CRNA) with The Emory Clinic Inc and 1 other group, practicing in Stone Mountain, Georgia. Medicare paid $5,982 for services to 53 patients in 2024. Zoll Services LLC (A/K/A Zoll Lifecor Corp) reported $20.45 in payments in 2025, mostly food and beverage. Lists Emory University Hospital Midtown and 1 other hospital as hospital affiliations.
Overview
| NPI | 1881264356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jun 28, 2021 |
| Last updated in NPPES | May 23, 2024 |
| Certified by provider | May 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | RN264280 | GA |
| Anesthesiology | 207L00000X | RN264280 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 53 across 32 procedure codes |
| Paid by Medicare | $5,982 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- The Emory Clinic IncAtlanta, GA · 3,568 clinicians
- Piedmont Anesthesia LLCFayetteville, GA · 563 clinicians
Hospital affiliations
- Emory University Hospital MidtownAtlanta, GA
- Piedmont Rockdale HospitalConyers, GA
Industry payments (Open Payments)
- 2025$20.45 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $20.45 | 1 |
What the 2025 payments were for
- Food and Beverage$20.45 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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