MARISA HALSTEAD PA
NPI 1205305224
Physician Assistant - Surgical in Rochester, NY
About Marisa Halstead Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA HALSTEAD PA (NPI 1205305224) is an individual surgical provider in Rochester, New York, licensed in New York (022886) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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 Halstead Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Halstead's NPI number?
The NPI number for Marisa Halstead is 1205305224. It was assigned to this individual provider in the NPPES registry on November 20, 2018.
Where is Marisa Halstead located?
Marisa Halstead practices at 30 N Union St Ste 105, Rochester, NY 14607. The listed phone number is (585) 232-8940.
What is Marisa Halstead's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Marisa Halstead enrolled in Medicare?
Yes. Marisa Halstead 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.
Is Marisa Halstead affiliated with any hospitals?
According to CMS data, Marisa Halstead is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Marisa Halstead was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marisa Halstead, PA · NPI 1205305224
Surgical physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since November 20, 2018.
## Identity
- **NPI:** 1205305224 (Entity type: Individual)
- **Enumerated:** November 20, 2018
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 022886 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N UNION ST STE 105, Rochester, NY 14607-1345
- **Phone:** (585) 232-8940 · **Fax:** (585) 232-8687
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205305224) · Data from the CMS NPPES public registry.