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DR. MARISSA SAMUELS MD
NPI 1194656751
Student in an Organized Health Care Education/Training Program in Wynnewood, PA

Active since May 25, 2026PECOS Enrolled
100 E LANCASTER AVE, WYNNEWOOD, PA 19096(610) 645-6555 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, May 25, 2026 (2 updates tracked since 2026).

About Dr. Marissa Samuels Md NPPES

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

DR. MARISSA SAMUELS MD (NPI 1194656751) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania, licensed in Pennsylvania (MT237399) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194656751
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARISSA SAMUELSCredential: MD
Location Address100 E LANCASTER AVEWynnewood, PA 19096-3450
Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450
Phone(610) 645-6555
Sole ProprietorNo
Enumeration DateMay 25, 2026
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1194656751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MT237399
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.
100 E LANCASTER AVE, Wynnewood, PA 19096
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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 Samuels 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.

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.

DR. AKHNUWKH JONES M.D.
Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
AMANDA B CHRISTINI MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
LAI KWAN LOUIE RPH
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Montgomery County (610) 658-8640
DANIEL WANG MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
SARAH TYRRELL CRNA
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
MARGARET MACK
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 642-3796
XIAOLING YU MD
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
JONATHAN HONGYI CHEN MD
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000

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 Samuels's NPI number?

The NPI number for Marissa Samuels is 1194656751. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Marissa Samuels located?

Marissa Samuels practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (610) 645-6555.

What is Marissa Samuels's specialty?

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

Is Marissa Samuels enrolled in Medicare?

Yes. Marissa Samuels is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Samuels was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.