DR. MARISSA SIMONNE GHANT MD
NPI 1063918613
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Q: What is Marissa Ghant's NPI number?

The NPI number for Marissa Ghant is 1063918613. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Marissa Ghant's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Ghant was last updated on May 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2018PECOS Enrolled

200 ARNET ST STE 200, YPSILANTI, MI 48198(734) 539-5000 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Jun 13, 2024, Sep 13, 2021 (3 updates tracked since 2021).

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About Dr. Marissa Simonne Ghant Md NPPES

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

DR. MARISSA SIMONNE GHANT MD (NPI 1063918613) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063918613

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MARISSA SIMONNE GHANTCredential: MD

Location Address200 ARNET ST STE 200Ypsilanti, MI 48198-5753

Mailing Address200 Arnet St Ste 200Ypsilanti, MI 48198-5753 · (734) 539-5000

Phone(734) 539-5000

Sole ProprietorNo

Enumeration DateApril 3, 2018

Last NPPES UpdateMay 22, 20263 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1063918613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301517872 (MI)

200 ARNET ST STE 200, Ypsilanti, MI 48198

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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)

Dr. Marissa Simonne Ghant Md 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.

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Other Providers at the Same Location NPPES 19

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

LIA ANNA MARINA BOYLE MD, PHD

Pediatrics