MARISSA ANN EDWARDS (P.A.C.) – Medical Physician Assistant, NPI 1457375032
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for MARISSA ANN EDWARDS (P.A.C.)
899 POPLAR CHURCH RD
CAMP HILL, PA 170112206
Phone: (177) 630-4307
Fax: (717) 763-9854
Type: Mailing
126 WARM SUNDAY WAY
MECHANICSBURG, PA 170503802
Phone: (814) 386-1885
Type: Mailing
49 PRINCE ST
HARRISBURG, PA 171093113
Phone: (717) 901-3440
Fax: (717) 901-3447
Type: Location
Kingman Regional Medical Center, 3269, Stockton Hill Road, Kingman, Mohave County, Arizona, 86409, United States
KINGMAN, AZ 864093619
Phone: (928) 757-0626
Fax: (928) 692-2706
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $364.
Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Lilly USA, LLC ($67).
Total Amount
$364
General + Research + Ownership
Payments
18
Total payment records
General Amount
$364
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-06-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190605000098 | I | Physician Assistant | PA | 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 17011)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AZ | 81002 | Urinalysis, manual test | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | DE | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| - | DE | |
| Physician Assistant | PA | |
| Nurse Practitioner | MD | |
| Family Practice | NY | |
| - | VA | |
| Internal Medicine | PA |
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