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MARISSA LEE PROVERBS PA-C
NPI 1043037849
Physician Assistant in Jackson, CA

Active since September 23, 2024PECOS Enrolled
200 MISSION BLVD, JACKSON, CA 95642(209) 223-7500 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa Lee Proverbs Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA LEE PROVERBS PA-C (NPI 1043037849) is an individual physician assistant in Jackson, California and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043037849
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA LEE PROVERBSCredential: PA-C
Location Address200 MISSION BLVDJackson, CA 95642-2564
Mailing Address16399 Mozart AveLos Gatos, CA 95032-1906 · (408) 332-9991
Phone(209) 223-7500
Sole ProprietorNo
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1043037849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 MISSION BLVD, Jackson, CA 95642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Lee Proverbs Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOTHER LODE DIAGNOSTIC IMAGING INC
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-0949
MARY MICHELLE VANFOSSAN RD
Dietitian, Registered
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 257-7635
HASHIM RAHIM CHAUDHRY DO
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
LATHA SUNIL KUMAR M.D
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
SEAN KELLEY M.D.
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
AMADOR ANESTHESIA MEDICAL GROUP, INC.
Anesthesiology
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
SOUND INPATIENT PHYSICIANS MEDICAL GROUP
Hospitalist
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
DR. BAXTER KEY RICHARDSON IV MD
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Proverbs's NPI number?

The NPI number for Marissa Proverbs is 1043037849. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is Marissa Proverbs located?

Marissa Proverbs practices at 200 Mission Blvd, Jackson, CA 95642. The listed phone number is (209) 223-7500.

What is Marissa Proverbs's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marissa Proverbs enrolled in Medicare?

Yes. Marissa Proverbs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Proverbs was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.