Marissa Claire Sjoberg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2258 Issued in NE

Practice address

4545 R St Ste 100
Lincoln, NE 68503-3799

Phone

(402) 465-4545

Fax

(402) 465-9011

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marissa Claire Koch Former name

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Specialties PCGroup PAC ID 5991696775, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
• CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
• CHI Health Nebraska Heart Hospital, Lincoln, NE, CCN 280128

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gastroenterology Specialties, P.C.

  • Specialist
  • Lincoln, NE
  • NPI 1083747380
  Medicare reassignment Care Compare group
• Nebraska Urgent Care Center, LLC

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1396037875
  Medicare reassignment
• Lincoln Digestive Health Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lincoln, NE
  • NPI 1548710775
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation
• Nebraska Heart Hospital

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1699718437
  Care Compare affiliation
• Saint Elizabeth Regional Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1336155738
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1033601125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 R ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033799",
            "telephone_number": "402-465-4545",
            "fax_number": "402-465-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 R ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033799",
            "telephone_number": "402-465-4545",
            "fax_number": "402-465-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4720 W Huntington Ave Ste J",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685241528",
            "country_code": "US",
            "telephone_number": "402-470-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SJOBERG",
        "first_name": "MARISSA",
        "middle_name": "CLAIRE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "KOCH",
            "middle_name": "CLAIRE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Craig James Sitzman, M.D.
• Michelle R Sitzman, PA
• Kaytlyn Louise Sizemore
• Elizabeth Sizer, MS. ED.
• SJL Wellness LLC
• SJT Pediatric Counseling LLC
• Dawn Lee Skala
• Laci A Skarboe-Majorins, RRT
• Jonathan M Skelton
• Elena Kristine Skillett, NP

• Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.