MARISSA ANN CLARK
NPI 1205789815
Nurse Practitioner - Family in Hyannis, MA
About Marissa Ann Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA ANN CLARK (NPI 1205789815) is an individual family provider in Hyannis, Massachusetts, licensed in Massachusetts (RN2279347) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (2025).
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 (PECOS)
Marissa Ann Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cape Cod Hospital
Acute Care Hospitals · Hyannis, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Clark's NPI number?
The NPI number for Marissa Clark is 1205789815. It was assigned to this individual provider in the NPPES registry on February 16, 2026.
Where is Marissa Clark located?
Marissa Clark practices at 27 Park St, Hyannis, MA 02601. The listed phone number is (774) 521-6201.
What is Marissa Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marissa Clark enrolled in Medicare?
Yes. Marissa Clark is registered in the Medicare PECOS enrollment system.
Is Marissa Clark affiliated with any hospitals?
According to CMS data, Marissa Clark is affiliated with Cape Cod Hospital.
When was this NPI record last updated?
The NPPES record for Marissa Clark was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Marissa Ann Clark · NPI 1205789815
Family physician in Hyannis, Massachusetts. Individual provider, active in the CMS NPPES registry since February 16, 2026.
## Identity
- **NPI:** 1205789815 (Entity type: Individual)
- **Enumerated:** February 16, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2279347 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27 PARK ST, Hyannis, MA 02601-5230
- **Phone:** (774) 521-6201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205789815) · Data from the CMS NPPES public registry.