Marissa Anne Miller, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PT2021 Issued in AR

Practice address

1010 N Center St
Lonoke, AR 72086-2005

Phone

(501) 438-8075

Fax

(870) 856-2107

NPI assigned

Aug 13, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates PAGroup PAC ID 1557342334, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Nephrology Associates PA

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1992796924
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1093480758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002",
            "telephone_number": "870-856-1202",
            "fax_number": "870-856-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CENTER ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862005",
            "telephone_number": "501-438-8075",
            "fax_number": "870-856-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PT2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ACCESSMEDICALCLINIC",
            "affiliation": "Y",
            "affiliationName": "ACCESS MEDICAL CLINIC ARKANSAS LTC LLC",
            "address_1": "1010 N Center St",
            "city": "Lonoke",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720862005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matone and Cooper Mobile Dentistry,PLLC.
• Margaret Kathryn McKee, M.A., LPC
• Rosa Marie McLaurin, DC
• Alison McLeod, OTR/L
• Janeen Meyer, RN
• Lori Elizabeth Moran, MMT
• Michelle Annette Moran, BSW
• Summer Lyndsey Morgan
• Devon Morris, PT, DPT
• John Michael Morris, APRN

• Physician Assistant in Lonoke, AR
• Providers in Lonoke, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.