MARISA BENEDICT PA-C
NPI 1174333868
Physician Assistant in Saint Petersburg, FL

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment
640 TYRONE BLVD N, SAINT PETERSBURG, FL 33710(727) 605-5591 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisa Benedict Pa-c NPPES

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

MARISA BENEDICT PA-C (NPI 1174333868) is an individual physician assistant in Saint Petersburg, Florida, licensed in Florida (PA9119512) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174333868
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISA BENEDICTCredential: PA-C
Location Address640 TYRONE BLVD NSaint Petersburg, FL 33710-7126
Mailing Address1001 Country Club Rd NSaint Petersburg, FL 33710-4406
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 13, 2025
Last NPPES UpdateJune 12, 2025
NPPES CertifiedJune 12, 2025
NPI 1174333868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9119512
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.
640 TYRONE BLVD N, Saint Petersburg, FL 33710

Accepted Insurance

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

Marisa Benedict 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 ID1951831395
PECOS Enrollment IDI20250213003465
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 33710 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 7

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

Radiologic Technologist
640 TYRONE BLVD N
ST PETERSBURG, FL 33710
Internal Medicine (Hematology & Oncology)
640 TYRONE BLVD N
SAINT PETERSBURG, FL 33710
Clinic/Center (Urgent Care)
640 TYRONE BLVD N
ST PETERSBURG, FL 33710
Physician Assistant (Medical)
640 TYRONE BLVD N
ST PETERSBURG, FL 33710
Nurse Practitioner
640 TYRONE BLVD N
SAINT PETERSBURG, FL 33710
Emergency Medicine
640 TYRONE BLVD N
ST PETERSBURG, FL 33710
Pediatrics
640 TYRONE BLVD N
SAINT PETERSBURG, FL 33710

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 Marisa Benedict's NPI number?

The NPI number for Marisa Benedict is 1174333868. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Marisa Benedict located?

Marisa Benedict practices at 640 Tyrone Blvd N, Saint Petersburg, FL 33710. The listed phone number is (727) 605-5591.

What is Marisa Benedict's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marisa Benedict enrolled in Medicare?

Yes. Marisa Benedict 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.

What insurance does Marisa Benedict accept?

Health plans from Ambetter Health and Ambetter of Alabama list Marisa Benedict as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisa Benedict was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.