Marissa Commodore, CRNA
NPI 1881264356 · Certified Registered Nurse Anesthetist · Stone Mountain, GA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marissa Commodore, CRNA is a Certified Registered Nurse Anesthetist provider in Stone Mountain, GA (NPI 1881264356).
Provider details
- NPI number
- 1881264356
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- RN264280 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-28
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Frequently asked questions
- What is Marissa Commodore's NPI number?
- Marissa Commodore's National Provider Identifier (NPI) is 1881264356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Commodore's specialty?
- Marissa Commodore is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marissa Commodore located?
- Marissa Commodore's practice location on file with NPPES is 5357 Windfern Ct, Stone Mountain, GA 30088-3329.
- What is Marissa Commodore's phone number?
- The practice phone number listed in the NPPES registry for Marissa Commodore is (770) 875-3080.
- Does Marissa Commodore accept Medicare?
- Marissa Commodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marissa Commodore's NPI active?
- Yes — Marissa Commodore's NPI (1881264356) is active in the NPPES registry as of the last update on 2024-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.