MARISSA NICOLE MUTZEK PA-C
NPI 1144768466
Physician Assistant - Medical in Middletown, NY

Q: What is Marissa Mutzek's NPI number?

The NPI number for Marissa Mutzek is 1144768466. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Q: What is Marissa Mutzek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Mutzek was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 07, 2017PECOS EnrolledAccepts Medicare Assignment

155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Feb 7, 2017 (2 updates tracked since 2017).

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About Marissa Nicole Mutzek Pa-c NPPES

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

MARISSA NICOLE MUTZEK PA-C (NPI 1144768466) is an individual medical provider in Middletown, New York, licensed in New York (033601) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144768466

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARISSA NICOLE MUTZEKCredential: PA-C

Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 7, 2017

Last NPPES UpdateApril 10, 20252 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1144768466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NY · 033601✔ Licensed in PA · MA058716

155 CRYSTAL RUN RD, Middletown, NY 10941

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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 and accepts Medicare assignment

Marissa Nicole Mutzek Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234654955

PECOS Enrollment IDI20250415003580

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.

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.

RAFEEL O SYED MD

Internal Medicine (Nephrology)