Marissa Lisette Cadena, PA-C
Individual provider Active NPI Physician Assistant · Missoula, MT
NPI 1669013744 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1669013744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 77760 (MT)
- Practice address
- 700 W Kent Ave
Missoula, MT 59801-6772 - Phone
- (406) 541-3277
- Fax
- (406) 541-3811
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rocky Mountain Ear Nose and Throat Center PC
Practice addresses (Care Compare)
700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 541-3937
Hospital & facility affiliations
- St. Patrick Hospital
- Community Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409001957 | ID | Practitioner - Physician Assistant | 0446689624 | Reassigns benefits to 1 organization |
| I20210916001918 | MT | Practitioner - Physician Assistant | 0446689624 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77760 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corp | Current |
Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current |
Accepting new patients |
Locations
1200 Westwood Dr
Ste A
Hamilton, MT 59840
Phone (406) 375-4714
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
700 W Kent Ave
Missoula, MT 59801
Phone (406) 541-3277
Interoperability endpoints
- mcadena2028609@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 77760 | MT | Yes |
Addresses
Primary practice location
700 W Kent Ave
Missoula, MT 59801-6772
Mailing address
16305 Highland Dr
Florence, MT 59833-6068
Phone (406) 493-6891
Other practice location 1
2760 Elizabeth Warren Ave Ste B
Butte, MT 59701-3979
Phone (406) 792-1250
Other providers in Missoula, MT
- Joseph D Byington
- Hannah Marie Bymaster
- Samantha Bymaster
- Kristen Byrne
- C & J Medical, L.L.C.
- Carol Therese Cady
- Anthony D. Caffarelli
- Felicia Caflin
- Mariana Cahalan
- Paul Raymond Cahill
All providers in Missoula, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.