Active NPI
Marissa Kate Poots, PA-C
- Physician Assistant
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3625 N Ankeny Blvd Ste F
Ankeny, IA 50023-4611 - Phone
- (515) 964-4600
- Fax
- (515) 965-5642
- NPI assigned
- Feb 10, 2020
- Last updated
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | IA | Primary |
Addresses
Primary practice location
3625 N Ankeny Blvd Ste F
Ankeny, IA 50023-4611
Mailing address
3156 SE Primrose Dr
Ankeny, IA 50021-7239
Phone (612) 719-8104
Other names 1
- Marissa Kate Breider
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Physician Assistant | Current | Accepting new patients |
Locations
3625 N Ankeny Blvd
Ste F
Ankeny, IA 50023
Phone (515) 964-4600
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
1428 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
Interoperability endpoints
- mpoots851431@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
dba Unitypoint Clinic Family Medicine - Kingsley
- Rural Health Clinic/Center
- Kingsley, IA
- NPI 1659263523
Physician Assistant
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Des Moines, IA
- NPI 1194753863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1477185171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3156 SE PRIMROSE DR",
"city": "ANKENY",
"state": "IA",
"postal_code": "500217239",
"telephone_number": "612-719-8104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 N ANKENY BLVD STE F",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234611",
"telephone_number": "515-964-4600",
"fax_number": "515-965-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOTS",
"first_name": "MARISSA",
"middle_name": "KATE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "BREIDER",
"middle_name": "KATE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.