Individual provider Active NPI

Marissa Ann Rost, PA-C

  • Physician Assistant
  • Jefferson City, MO
National Provider Identifier
1235761826
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2020001246 Issued in MO
Practice address
1125 Madison St
Jefferson City, MO 65101-5227
Phone
(573) 632-5437
Fax
(573) 632-5977
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2020001246 MO Primary

Addresses

Primary practice location

1125 Madison St
Jefferson City, MO 65101-5227

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other practice location 1

516 Jackson Rd
Boonville, MO 65233-2845
Phone (660) 882-3585

Other practice location 2

1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-8091

Other practice location 3

1306 W Main St
Jefferson City, MO 65109-1356
Phone (702) 899-0595

Other practice location 4

3916 S Providence Rd Ste 101
Columbia, MO 65203-7152
Phone (573) 882-1662

Other practice location 5

3626 S Clark St
Mexico, MO 65265-4104
Phone (573) 581-1812

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20200414003218 MO Practitioner - Physician Assistant 2466882444 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri CurrentSince Jul 19, 2021 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

4600 Little Blue Pkwy
Independence, MO 64057
Phone (816) 795-7888

1306 W Main St
Jefferson City, MO 65109
Phone (573) 635-0166

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900

206 N Main St
O Fallon, MO 63366
Phone (314) 495-8887

11901 Jessica Ln
Raytown, MO 64138
Phone (816) 358-3535

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1235761826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MADISON ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015227",
            "telephone_number": "573-632-5437",
            "fax_number": "573-632-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "MO",
            "postal_code": "652332845",
            "country_code": "US",
            "telephone_number": "660-882-3585",
            "fax_number": "573-882-4096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-8091",
            "fax_number": "573-884-1902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1306 W Main St",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651091356",
            "country_code": "US",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3916 S Providence Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652037152",
            "country_code": "US",
            "telephone_number": "573-882-1662",
            "fax_number": "573-882-4096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3626 S Clark St",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "MO",
            "postal_code": "652654104",
            "country_code": "US",
            "telephone_number": "573-581-1812",
            "fax_number": "573-581-1471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROST",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2020001246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT",
            "address_1": "1 Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.