Marisa Reese, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

T-03785 Issued in KS

Practice address

9390 E Central Ave
Suite 102
Wichita, KS 67206-2533

Phone

(316) 733-4747

Fax

(316) 733-5253

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 2013By the provider in NPPES

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 KS

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andover Family Medicine LLCGroup PAC ID 7012920663, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Andover Family Medicine, LLC

  • Primary Care Clinic/Center
  • Andover, KS
  • NPI 1124067558
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Care Compare affiliation

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1689009573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 E CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062533",
            "telephone_number": "316-733-4747",
            "fax_number": "316-733-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 E CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062533",
            "telephone_number": "316-733-4747",
            "fax_number": "316-733-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MARISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T-03785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reeds Cove Health and Rehabilitation LLC
• Reema Medical Group of Kansas PA
• Julie K Rees, CRNA
• Scott P Rees, MD
• Jacob T Reese, ABOC NCLEC
• Alicia M. Reeves, APRN, FNP-C
• Holly Jean Reeves, PTA
• Jessica Reeves, MA, CCC-SLP
• Matthew Reuben Reeves, DPT
• Julie Reffner, COTA

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.