SOPHIA SHEA MARINO (PA-C) – Physician Assistant, NPI 1194419663

SOPHIA SHEA MARINO (PA-C) is a healthcare provider. based in Camp hill, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12242 (GA). The NPI Number for SOPHIA SHEA MARINO (PA-C) is 1194419663

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SOPHIA SHEA MARINO (PA-C)
NPI
1194419663
Phone
Not provided
Address
10 COUNTRY CLUB PL W
Enumeration Date
6 June 2023
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9079172200
Graduation Year
2023 (3 years ago)
PAC ID
5294181780
Group Practice PAC ID
4789938499
Professional Enrollment ID
I20250718000505
Address ID
AK995084694AN3841XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for SOPHIA SHEA MARINO (PA-C)

  • 10 COUNTRY CLUB PL W

    CAMP HILL, PA 170112613

    Phone:

    Type: Mailing

  • 1108 ROSS CLARK CIR

    DOTHAN, AL 363013022

    Phone: (334) 793-8111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $336.

Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABIOMED ($116).

Total Amount

$336

General + Research + Ownership

Payments

7

Total payment records

General Amount

$336

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2025-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20231019000546IPhysician AssistantALTBD
I20240712000784IPhysician AssistantGATBD
I20250718000505IPhysician AssistantAKTBD

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 17011)

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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: 4789938499View full group profile
NameSpecialtyState
Thoracic SurgeryIN
Cardiac Surgery, Thoracic SurgeryMA
Physician AssistantOR
-OR
-TX
Cardiac Surgery, Thoracic SurgeryIN
Physician AssistantOR
-OR
Thoracic Surgery, Cardiac SurgeryAK
Physician AssistantPA

Reviews

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Frequently asked questions

What number should I use to identify SOPHIA SHEA MARINO (PA-C) for billing?
Administrative and clinical systems typically use NPI 1194419663 for SOPHIA SHEA MARINO (PA-C).
Is SOPHIA SHEA MARINO (PA-C)'s NPI status active today?
Active status means SOPHIA SHEA MARINO (PA-C)'s NPI record is not deactivated in the public file.
What services align with SOPHIA SHEA MARINO (PA-C)'s listing?
SOPHIA SHEA MARINO (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to SOPHIA SHEA MARINO (PA-C)?
The directory associates SOPHIA SHEA MARINO (PA-C) with Camp Hill, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I export SOPHIA SHEA MARINO (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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