Individual provider Active NPI

Marissa Ann Edwards, P.A.C.

  • Medical Physician Assistant
  • Camp Hill, PA
National Provider Identifier
1457375032
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060596 Issued in PA
Practice address
899 Poplar Church Rd
Camp Hill, PA 17011-2206
Phone
(717) 763-0430
Fax
(717) 763-9854
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060596 PA Primary

Addresses

Primary practice location

899 Poplar Church Rd
Camp Hill, PA 17011-2206

Mailing address

899 Poplar Church Rd
Camp Hill, PA 17011-2206
Phone (177) 630-4307

Other identifiers 1

IdentifierTypeStateIssuer
1036509320004MedicaidPA

Other names 1

  • Marissa Ann Colyer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pagiconsultants.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190605000098 PA Practitioner - Physician Assistant 7416950829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oss Orthopaedic Hospital LLCGroup PAC ID 8729110747, shared by 7 NPIs, 125 clinicians
Pennsylvania Gastroenterology Consultants, PCGroup PAC ID 2062496417, 8 clinicians

Practice addresses (Care Compare)

1926 Good Hope Rd
Enola, PA 17025-1217
Phone 71784848006867

899 Poplar Church Rd
Camp Hill, PA 17011-2206
Phone (717) 763-0430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3455AZMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: marissa.edwards.1@15936.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1457375032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112206",
            "telephone_number": "177-630-4307",
            "fax_number": "717-763-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 POPLAR CHURCH RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112206",
            "telephone_number": "717-763-0430",
            "fax_number": "717-763-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "credential": "P.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036509320004",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pagiconsultants.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "patient contact",
            "address_1": "899 Poplar Church Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "COLYER",
            "middle_name": "ANN",
            "credential": "P.A.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.