MARISSA RENEE BENNETT (PA-C) – Medical Physician Assistant, NPI 1063757979

MARISSA RENEE BENNETT (PA-C) is a healthcare provider. based in Beaver falls, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. OA002924 (PA). The NPI Number for MARISSA RENEE BENNETT (PA-C) is 1063757979

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA RENEE BENNETT (PA-C)
NPI
1063757979
Phone
(724) 891-3278
Address
2652 DARLINGTON RD STE 10
Enumeration Date
4 December 2012
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4124863027
Graduation Year
2011 (15 years ago)
PAC ID
6305078056
Group Practice PAC ID
6709398969
Professional Enrollment ID
I20140410001539
Address ID
PA151012248AL4655XHWYX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for MARISSA RENEE BENNETT (PA-C)

  • 2652 DARLINGTON RD STE 10

    BEAVER FALLS, PA 150101295

    Phone: (724) 891-3278

    Type: Mailing

  • 99 AUTUMN ST

    ALIQUIPPA, PA 150011301

    Phone: (724) 375-5754

    Fax: (724) 375-5756

    Type: Location

  • 100 SHENANGO AVE

    SHARON, PA 161461503

    Phone: (724) 375-5754

    Fax: (724) 375-5756

    Type: Mailing

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: 2014-04-10

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
I20140410001539IPhysician AssistantPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4747$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
81003Automated urinalysis test1413$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 15010)

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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: 6709398969View full group profile
NameSpecialtyState
Physician AssistantPA
Nurse PractitionerPA
Nurse PractitionerPA
Family PracticePA
Nurse PractitionerPA
Family PracticePA
Nurse PractitionerPA
Physician AssistantPA
Nurse PractitionerPA
Physician AssistantPA

Reviews

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Frequently asked questions

What federal number belongs to MARISSA RENEE BENNETT (PA-C)?
The federal identifier for MARISSA RENEE BENNETT (PA-C) is NPI 1063757979.
Is MARISSA RENEE BENNETT (PA-C)'s NPI currently valid?
The extract we use shows MARISSA RENEE BENNETT (PA-C) as active.
What does MARISSA RENEE BENNETT (PA-C) treat or focus on?
Patients typically see MARISSA RENEE BENNETT (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MARISSA RENEE BENNETT (PA-C)'s primary listing?
We display Beaver Falls, Pennsylvania because that is what the record indicates for MARISSA RENEE BENNETT (PA-C).
Is MARISSA RENEE BENNETT (PA-C) a real provider?
This page reflects official NPPES data for NPI 1063757979. Always confirm identity and privileges with the practice and licensing boards.

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