MARISSA SMITH
NPI 1215752589
Physician Assistant - Medical in Phoenix, AZ

Active since November 20, 2024PECOS EnrolledAccepts Medicare Assignment
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5726 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2025, Jan 7, 2025, Nov 20, 2024 (3 updates tracked since 2024).

About Marissa Smith NPPES

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

MARISSA SMITH (NPI 1215752589) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (10967) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215752589
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARISSA SMITH
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 20, 2024
Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
NPI 1215752589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 10967
2601 E ROOSEVELT ST, Phoenix, AZ 85008

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

Marissa Smith 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 ID2668902313
PECOS Enrollment IDI20250210003191
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.

Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

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 Smith's NPI number?

The NPI number for Marissa Smith is 1215752589. It was assigned to this individual provider in the NPPES registry on November 20, 2024.

Where is Marissa Smith located?

Marissa Smith practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5726.

What is Marissa Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marissa Smith enrolled in Medicare?

Yes. Marissa Smith 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 Marissa Smith accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Marissa Smith 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 Marissa Smith was last updated on February 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.