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: July 19, 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
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

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.

Anesthesiology
200 MISSION BLVD
JACKSON, CA 95642
General Acute Care Hospital
200 MISSION BLVD
JACKSON, CA 95642
Specialist
200 MISSION BLVD
JACKSON, CA 95642
Specialist
200 MISSION BLVD
JACKSON, CA 95642
Surgery
200 MISSION BLVD
JACKSON, CA 95642
Hospitalist
200 MISSION BLVD
JACKSON, CA 95642
Internal Medicine (Hematology & Oncology)
200 MISSION BLVD
JACKSON, CA 95642
Dietitian, Registered
200 MISSION BLVD
JACKSON, CA 95642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043037849, enumerated as an "individual" on September 23, 2024.

The provider is located at 200 MISSION BLVD JACKSON, CA 95642 and the phone number is (209) 223-7500.

Physician Assistant with taxonomy code 363A00000X.