MARISSA H. SWANSON (PHD, LP) – Psychologist, NPI 1124901830

MARISSA H. SWANSON (PHD, LP) is a healthcare provider. based in Rochester, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD, LP. They hold a License No. PSY-2023-0067 (NM). The NPI Number for MARISSA H. SWANSON (PHD, LP) is 1124901830

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA H. SWANSON (PHD, LP)
NPI
1124901830
Phone
(412) 478-3418
Address
735 FOREST HILLS DR SW
Enumeration Date
29 July 2025
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072883443
Graduation Year
2019 (7 years ago)
PAC ID
7517463771
Group Practice PAC ID
8527970060
Professional Enrollment ID
I20251006002033
Address ID
MN559046425RO210XXSEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for MARISSA H. SWANSON (PHD, LP)

  • 735 FOREST HILLS DR SW

    ROCHESTER, MN 559022269

    Phone: (412) 478-3418

    Type: Mailing

  • 210 9TH ST SE

    ROCHESTER, MN 559046756

    Phone: (507) 288-3443

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-06

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
I20251006002033IClinical PsychologistMNTBD

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 55902)

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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: 8527970060View full group profile
NameSpecialtyState
Nurse PractitionerMN
Family PracticeMN
Family PracticeMN
Family PracticeMN
P A T H O L O G YMN
Physical Therapist In Private PracticeMN
D E R M A T O L O G YTN
Certified Registered Nurse Anesthetist (Crna)MN
Physician AssistantMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

How is MARISSA H. SWANSON (PHD, LP) identified in CMS data?
CMS-hosted NPPES data lists MARISSA H. SWANSON (PHD, LP) with NPI 1124901830.
Is MARISSA H. SWANSON (PHD, LP) listed as active for patients and plans?
The listing shows MARISSA H. SWANSON (PHD, LP) as active in the NPI system.
What is MARISSA H. SWANSON (PHD, LP)'s primary classification?
Psychologist is the headline specialty for MARISSA H. SWANSON (PHD, LP) here. Clinical services aligned with this taxonomy classification.
Does MARISSA H. SWANSON (PHD, LP) list a practice location?
Patients near Rochester, Minnesota may find MARISSA H. SWANSON (PHD, LP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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