MARISSA MERRY (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1992487532

MARISSA MERRY (PHYSICIAN ASSISTANT) is a healthcare provider. based in Norton shores, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 5601011716 (MI). The NPI Number for MARISSA MERRY (PHYSICIAN ASSISTANT) is 1992487532

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA MERRY (PHYSICIAN ASSISTANT)
NPI
1992487532
Phone
(810) 813-9808
Address
3850 HIGHGATE RD
Enumeration Date
3 August 2023
Last Update Date
3 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
7810359072
Group Practice PAC ID
8123015492
Professional Enrollment ID
I20230821000418
Address ID
MI494442157MU2700XFLOO500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MARISSA MERRY (PHYSICIAN ASSISTANT)

  • 3850 HIGHGATE RD

    NORTON SHORES, MI 494415071

    Phone: (810) 813-9808

    Type: Mailing

  • 1021 E MAIN ST

    EDMORE, MI 488298740

    Phone: (989) 427-5320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $483.

Total Amount is formed as General ($483) + Research ($0) + Ownership ($0) = $483.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($86).

Total Amount

$483

General + Research + Ownership

Payments

23

Total payment records

General Amount

$483

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

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: 2023-08-21

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
I20230821000418IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49441)

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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: 8123015492View full group profile
NameSpecialtyState
Internal MedicineMI
Family PracticeMI
Family Practice, Addiction MedicineMI
Nurse PractitionerMI
Internal MedicineMI
Nurse PractitionerMI
Physician AssistantMI
-MI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I use this page to confirm MARISSA MERRY (PHYSICIAN ASSISTANT)'s NPI?
Yes. MARISSA MERRY (PHYSICIAN ASSISTANT) is listed with NPI 1992487532 in the public NPI dataset.
Does CMS list MARISSA MERRY (PHYSICIAN ASSISTANT) as active?
Yes — MARISSA MERRY (PHYSICIAN ASSISTANT) is active in the NPI listing used on this page.
What healthcare role does MARISSA MERRY (PHYSICIAN ASSISTANT) hold?
Scheduling teams often label MARISSA MERRY (PHYSICIAN ASSISTANT) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MARISSA MERRY (PHYSICIAN ASSISTANT) list a practice location?
Patients near Norton Shores, Michigan may find MARISSA MERRY (PHYSICIAN ASSISTANT) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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