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MARISSA SUZANNE MALENKOS
NPI 1073153219
Nurse Practitioner - Family in Indianapolis, IN

Active since January 15, 2020
2020 W 86TH ST STE 306, INDIANAPOLIS, IN 46260(317) 602-1965 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Suzanne Malenkos NPPES

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

MARISSA SUZANNE MALENKOS (NPI 1073153219) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (28174774A) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1073153219
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISSA SUZANNE MALENKOS
Location Address2020 W 86TH ST STE 306Indianapolis, IN 46260-1931
Mailing Address8929 Sourwood CtIndianapolis, IN 46260-1544 · (317) 760-6926
Phone(317) 602-1965
Sole ProprietorNo
Enumeration DateJanuary 15, 2020
✔ NPI 1073153219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28174774A
2020 W 86TH ST STE 306, Indianapolis, IN 46260
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Other Providers at the Same Location NPPES

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

DR. JAMES WILLIAM MALENKOS M.D.
Family Medicine
2020 W 86TH ST STE 306
INDIANAPOLIS, IN 46260
Marion County (317) 602-1965

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 Malenkos's NPI number?

The NPI number for Marissa Malenkos is 1073153219. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Marissa Malenkos located?

Marissa Malenkos practices at 2020 W 86th St Ste 306, Indianapolis, IN 46260. The listed phone number is (317) 602-1965.

What is Marissa Malenkos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marissa Malenkos was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.