Individual provider Active NPI

Marissa Leigh Lawrence, FNP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1235839473
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84157-012 Issued in KS
Practice address
4910 W 1St St N
Wichita, KS 67212-2341
Phone
(316) 866-2000
NPI assigned
Mar 7, 2023
Last updated
Jan 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223541 AR
Family Nurse Practitioner 363LF0000X 53-84157-012 KS Primary

Addresses

Primary practice location

4910 W 1St St N
Wichita, KS 67212-2341

Mailing address

4910 W 1St St N
Wichita, KS 67212-2341
Phone (316) 866-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230428000292 AR Practitioner - Nurse Practitioner 4880059781 Reassigns benefits to 4 organizations
I20250924003162 KS Practitioner - Nurse Practitioner 4880059781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians
Maria Medical Group LLCGroup PAC ID 5991936403, 15 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3161 N Rock Rd a
Afc Doctors Express
Wichita, KS 67226-1312
Phone (316) 440-2712

7001 Rogers Ave
Suite 501
Fort Smith, AR 72903-4073
Phone (479) 573-3101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
223541ARMDFamily Nurse Practitioner
53-84157-012KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Jul 9, 2023 Accepting new patients
Gracemed Health Clinic, Inc CurrentSince Mar 16, 2026 Accepting new patients
Maria Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Maria Medical Services LLC CurrentSince Aug 25, 2025 Accepting new patients
Gracemed Health Clinic Inc CurrentSince Mar 16, 2026 Accepting new patients
Mercy Hospital Booneville CurrentSince Jul 9, 2023 Accepting new patients
Mercy Hospital Paris CurrentSince Jul 9, 2023 Accepting new patients
Mercy Hospital Waldron CurrentSince Jul 9, 2023 Accepting new patients
Mercy Hospital Paris CurrentSince Jul 9, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 16, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 16, 2023 Accepting new patients
Mercy Hospital Booneville CurrentSince Jul 9, 2023 Accepting new patients
Mercy Hospital Booneville Past Accepting new patients
Maria Medical Services LLC Past Accepting new patients

Locations

605 Heather Ln
Alma, AR 72921
Phone (479) 407-6051

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

107 S Logan St
Charleston, AR 72933
Phone (479) 573-3120

4620 Towson Ave
Fort Smith, AR 72901
Phone (479) 573-3082

6801 Rogers Ave
Ste 502
Fort Smith, AR 72903

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7001 Rogers Ave
Ste 501
Fort Smith, AR 72903
Phone (479) 274-2370

2435 Veterans Way
Greenwood, AR 72936
Phone (479) 996-4111

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Ste B
Wichita, KS 67226
Phone (316) 978-0287

4910 W 1st St N
Wichita, KS 67212

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1235839473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 W 1ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122341",
            "telephone_number": "316-866-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 W 1ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122341",
            "telephone_number": "316-866-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MARISSA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "223541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84157-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.