MARISSA CALLICOTTE (PA-C) – Physician Assistant, NPI 1588225338
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for MARISSA CALLICOTTE (PA-C)
120, Marshall Drive, Swanton, Fulton County, Ohio, 43558, United States
SWANTON, OH 435581422
Phone: (567) 694-9394
Type: Mailing
120 Marshall Dr
Swanton, OH 435581422
Phone: (567) 694-9394
Type: Location
Family Medical Center of Michigan, 8765, Lewis Avenue, Temperance, Bedford Township, Monroe County, Michigan, 48182, United States
TEMPERANCE, MI 481829300
Phone: (734) 654-2169
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $195.
Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($91).
Total Amount
$195
General + Research + Ownership
Payments
10
Total payment records
General Amount
$195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $91 |
| Mylan Specialty L.P. | $30 |
| Novo Nordisk Inc | $26 |
| Otsuka America Pharmaceutical, Inc. | $17 |
| USWM, LLC | $16 |
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: 2025-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191004002657 | I | Physician Assistant | MI | TBD |
| I20251125001249 | I | Physician Assistant | OH | 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 43558)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MI | |
| - | MI | |
| Family Practice | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | HI | |
| Clinical Social Worker | MI | |
| Family Practice | OH | |
| Family Practice | OH | |
| Family Practice | MI | |
| Mental Health Counselor | MI |
Reviews
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