MARA PRICKETT
NPI 1205351319
Physician Assistant in Dayton, OH

Q: What is Mara Prickett's NPI number?

The NPI number for Mara Prickett is 1205351319. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Q: What is Mara Prickett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mara Prickett was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 09, 2017PECOS EnrolledAccepts Medicare Assignment

405 W GRAND AVE, DAYTON, OH 45405(937) 723-3200 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2021, Mar 17, 2018, Aug 9, 2017 (3 updates tracked since 2017).

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About Mara Prickett NPPES

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

MARA PRICKETT (NPI 1205351319) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.005179RX) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205351319

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARA PRICKETT

Location Address405 W GRAND AVEDayton, OH 45405-7538

Mailing Address405 W Grand AveDayton, OH 45405-7538

Phone(937) 723-3200

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 9, 2017

Last NPPES UpdateApril 26, 20213 updates tracked since enumeration

NPPES CertifiedApril 26, 2021

✔ NPI 1205351319 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 OH · 50.005179RX

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.

405 W GRAND AVE, Dayton, OH 45405

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Secondary Practice Locations 2

Location 11997 Miamisburg Centerville RdDayton, OH 45459-3811 · Phone (937) 401-6000

Location 2450B Washington Jackson RdEaton, OH 45320-7600 · Phone (937) 456-8376

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

Mara Prickett 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 ID9436422151

PECOS Enrollment IDI20170831001581

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 45405 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

LARA MARTINEZ

Emergency Medicine