MS. MARISSA ELIZABETH LACHAGA (PA-S) – Physician Assistant, NPI 1396397659
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for MS. MARISSA ELIZABETH LACHAGA (PA-S)
2452 E Horizon Dr
Eagle Mountain, UT 840056295
Phone: (801) 819-5575
Type: Location
220 W 7200 S Ste A
Midvale, UT 840471043
Phone: (801) 566-5494
Fax: (801) 561-9647
Type: Location
Horizon Drive, Rehoboth Crossing, West Rehoboth, Sussex County, Delaware, 19971, United States
EAGLE MOUNTAIN, UT 840056295
Phone: (801) 819-5575
Type: Mailing
PO BOX 190
TOPPENISH, WA 989480190
Phone: (509) 865-2395
Fax: (509) 865-0757
Type: Mailing
589 NW 11TH ST
HERMISTON, OR 978386600
Phone: (541) 567-1717
Fax: (541) 564-5170
Type: Location
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: 2022-10-05
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 |
|---|---|---|---|---|
| I20221005000575 | I | Physician Assistant | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WA | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| Nurse Practitioner | AR | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Diagnostic Radiology | UT | |
| Emergency Medicine | CA | |
| General Surgery | OR | |
| Certified Registered Nurse Anesthetist (Crna) | ID |
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