Marissa Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8015 Shoal Creek Blvd Ste 103
Austin, TX 78757-8051

Phone

(512) 467-7246

Fax

(512) 467-7247

NPI assigned

Nov 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Longhorn Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1649669672
  Medicare reassignment
• Usacs Observation Medicine Services of Texas PLLC

  • Emergency Medicine Physician
  • Round Rock, TX
  • NPI 1134606353
  Medicare reassignment
• Capitol Pain Institute, PA

  • Pain Medicine (Anesthesiology) Physician
  • Austin, TX
  • NPI 1548303985

  Physician Assistant

  NPD

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1629474028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD STE 300",
            "address_2": "SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577582",
            "telephone_number": "512-584-8404",
            "fax_number": "737-377-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 SHOAL CREEK BLVD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578051",
            "telephone_number": "512-467-7246",
            "fax_number": "512-467-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3613 Williams Dr Ste 802",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786281374",
            "country_code": "US",
            "telephone_number": "512-467-7246",
            "fax_number": "512-467-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Aaron Johnson, DDS
• Luke Connor Johnson, PA-C
• Madysen Johnson, MD
• Margery Lynn Johnson, RN
• Marianne Roxie Johnson
• Marlon C Johnson, LPC, LPC-MHSP, NCC
• Mary Johnson, M.D.
• Matthew Johnson, LAT, ATC
• Matthew Michael Johnson I, DC
• Morgan Johnson, MA, LPC (#75601)

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.