Individual provider Active NPI

Marissa Rae Hendriksen, PA-C

  • Physician Assistant
  • Waukee, IA
National Provider Identifier
1245974690
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
121500 Issued in IA
Practice address
950 E Hickman Rd
Waukee, IA 50263-8866
Phone
(515) 987-8256
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 121500 IA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

950 E Hickman Rd
Waukee, IA 50263-8866

Mailing address

950 E Hickman Rd
Waukee, IA 50263-8866
Phone (515) 987-8256

Other names 1

  • Marissa Rae Strong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230816004222 IA Practitioner - Physician Assistant 8224490610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

Practice addresses (Care Compare)

1152 SE Ashworth Rd
Waukee, IA 50263-8843
Phone (515) 264-2200

202 4TH Ave
FL 2
Grinnell, IA 50112-1898
Phone (641) 236-2925

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511

2103 Ingersoll Ave
Des Moines, IA 50312-5227

2720 8TH St SW
Altoona, IA 50009-1028
Phone (515) 967-0133

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

5200 100TH St
Urbandale, IA 50322-7208
Phone (515) 251-3880

Hospital & facility affiliations

  • Grinnell Regional Medical Center Hospital, Grinnell, IA, CCN 160147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121500IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grinnell Regional Medical Center Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 25, 2023 Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Sep 25, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

2720 8th St SW
Altoona, IA 50009
Phone (515) 957-8609

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

202 4th Ave
Fl 2
Grinnell, IA 50112
Phone (641) 236-2925

950 E Hickman Rd
Waukee, IA 50263
Phone (515) 987-8256

Interoperability endpoints

  • Direct secure messaging: mstrong998941@direct.unitypoint.org

Organizations & group practices 4

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.

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": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1245974690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638866",
            "telephone_number": "515-987-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638866",
            "telephone_number": "515-987-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIKSEN",
        "first_name": "MARISSA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "121500",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "STRONG",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.