MRS. MARISSA ANN KUYKENDALL (CNM) – Advanced Practice Midwife, NPI 1992356588

MRS. MARISSA ANN KUYKENDALL (CNM) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. AP143178 (TX). The NPI Number for MRS. MARISSA ANN KUYKENDALL (CNM) is 1992356588

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARISSA ANN KUYKENDALL (CNM)
NPI
1992356588
Phone
(214) 645-0967
Address
5323 Harry Hines Blvd
Enumeration Date
25 September 2019
Last Update Date
30 October 2023

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8009672289
Graduation Year
2019 (7 years ago)
PAC ID
5294168860
Group Practice PAC ID
3577713072
Professional Enrollment ID
I20191212001399
Address ID
TX757012036TY800XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

200 CERTIFIED NURSE MIDWIFE (CNM) in TX

Provider Addresses for MRS. MARISSA ANN KUYKENDALL (CNM)

  • 5323 Harry Hines Blvd

    Dallas, TX 753909032

    Phone: (214) 645-0967

    Type: Location

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753909032

    Phone: (214) 645-0967

    Type: Location

  • 928 N GLENWOOD BLVD

    TYLER, TX 757025055

    Phone: (903) 535-9041

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $408.

Total Amount is formed as General ($408) + Research ($0) + Ownership ($0) = $408.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Astellas Pharma US Inc ($227).

Total Amount

$408

General + Research + Ownership

Payments

11

Total payment records

General Amount

$408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

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: 2019-12-12

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
I20191212001399ICertified Nurse Midwife (Cnm)TXTBD

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 75390)

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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: 3577713072View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YSC
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Certified Nurse Midwife (Cnm)TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YPA
-TX

Reviews

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Frequently asked questions

What federal number belongs to MRS. MARISSA ANN KUYKENDALL (CNM)?
The federal identifier for MRS. MARISSA ANN KUYKENDALL (CNM) is NPI 1992356588.
Is MRS. MARISSA ANN KUYKENDALL (CNM) active in the national directory?
MRS. MARISSA ANN KUYKENDALL (CNM)'s public NPI profile is in an active state.
Can you summarize MRS. MARISSA ANN KUYKENDALL (CNM)'s specialty in plain language?
Clinically, the directory lists MRS. MARISSA ANN KUYKENDALL (CNM) with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where is MRS. MARISSA ANN KUYKENDALL (CNM)'s primary listing?
We display Dallas, Texas because that is what the record indicates for MRS. MARISSA ANN KUYKENDALL (CNM).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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