MARISSA HOGAN – Family Nurse Practitioner, NPI 1639621121

MARISSA HOGAN is a healthcare provider. based in Pocahontas, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. A004945 (AR). The NPI Number for MARISSA HOGAN is 1639621121

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA HOGAN
NPI
1639621121
Phone
Not provided
Address
160 LEXIE LN
Enumeration Date
31 October 2016
Last Update Date
31 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8708924467
Graduation Year
2016 (10 years ago)
PAC ID
1456634856
Group Practice PAC ID
4688651029
Professional Enrollment ID
I20170209000649
Address ID
AR724559402PO2901XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for MARISSA HOGAN

  • 160 LEXIE LN

    POCAHONTAS, AR 724558859

    Phone:

    Type: Mailing

  • Medical Center Drive, Pocahontas, Randolph County, Arkansas, 72455, United States

    POCAHONTAS, AR 724559438

    Phone: (870) 892-4467

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $666.

Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($102).

Total Amount

$666

General + Research + Ownership

Payments

41

Total payment records

General Amount

$666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-02-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170209000649INurse PractitionerARTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes461165$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes440150$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7878$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7053$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes4342$0
View full utilization report →

Insurance plans in this area (ZIP 72455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688651029View full group profile

Reviews

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Frequently asked questions

Can I verify MARISSA HOGAN with an NPI only?
You can start verification with NPI 1639621121 for MARISSA HOGAN, then check state licensing separately.
Can I rely on MARISSA HOGAN being an active provider?
As of the registry snapshot, MARISSA HOGAN is marked active.
What is MARISSA HOGAN best known for clinically?
Directory data describes MARISSA HOGAN with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MARISSA HOGAN serve?
MARISSA HOGAN's listing highlights Pocahontas, Arkansas; more addresses can appear in NPPES.
Why does MARISSA HOGAN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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