MARISSA ANNE MILLER (PA) – Physician Assistant, NPI 1093480758
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
Provider Addresses for MARISSA ANNE MILLER (PA)
4196 HIGHWAY 62 412 STE A
HARDY, AR 725428002
Phone: (870) 856-1202
Fax: (870) 856-2107
Type: Mailing
1010 N CENTER ST
LONOKE, AR 720862005
Phone: (501) 438-8075
Fax: (870) 856-2107
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($23).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $23 |
| Amgen Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210917001809 | I | Physician Assistant | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | AR | |
| - | AR | |
| N E P H R O L O G Y | AR | |
| Nephrology, Internal Medicine | MD | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nephrology, Internal Medicine | AR | |
| Nephrology, Internal Medicine | AR | |
| Nephrology, Internal Medicine | AR | |
| Nurse Practitioner | AR |
Reviews
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