MARISSA HAKES RN, CNM
NPI 1164107850
Advanced Practice Midwife in Syracuse, NY

Q: What is Marissa Hakes's NPI number?

The NPI number for Marissa Hakes is 1164107850. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Q: What is Marissa Hakes's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Hakes was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 20, 2023PECOS EnrolledAccepts Medicare Assignment

4900 BROAD RD, SYRACUSE, NY 13215(315) 492-5011 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 13, 2026, Jun 20, 2023 (2 updates tracked since 2023).

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About Marissa Hakes Rn, Cnm NPPES

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

MARISSA HAKES RN, CNM (NPI 1164107850) is an individual advanced practice midwife in Syracuse, New York and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164107850

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMARISSA HAKESCredential: RN, CNM

Location Address4900 BROAD RDSyracuse, NY 13215-2265

Mailing Address4900 Broad RdSyracuse, NY 13215-2265 · (315) 492-5875

Phone(315) 492-5011

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 20, 2023

Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1164107850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedRegistered NurseTaxonomy 163W00000X · License 750088 (NY)

4900 BROAD RD, Syracuse, NY 13215

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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 Hakes Rn, Cnm 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 ID3971959214

PECOS Enrollment IDI20231024000655

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 13215 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

IANNA JAVIER GARCIA OTR/L

Occupational Therapist

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 492-5011

ROBERT A WORDEN CRNA

Nurse Anesthetist, Certified Registered

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 492-5522

HEIDI GLOVACK CRNA

Nurse Anesthetist, Certified Registered

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 492-5553

JOHN F MURPHY CRNA

Nurse Anesthetist, Certified Registered

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 470-7828

MS. TERRY LEE WHITE RN FNP

Nurse Practitioner (Family)

4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215

Onondaga County (315) 492-5784

MS. SIGRID A. MARFO CRNA

Nurse Anesthetist, Certified Registered

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 492-5522

SURJIT K DHAMOON MD PC

Psychiatry & Neurology (Neurology)

4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215

Onondaga County (315) 492-5841

MR. R. THOMAS WEINHEIMER P.A.

Physician Assistant

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 251-3100

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 Hakes's NPI number?

The NPI number for Marissa Hakes is 1164107850. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Marissa Hakes located?

Marissa Hakes practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5011.

What is Marissa Hakes's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Marissa Hakes enrolled in Medicare?

Yes. Marissa Hakes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marissa Hakes was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.