MARISSA SIMONE BUNN
NPI 1265314314
Physician Assistant in Greensboro, NC

Q: What is Marissa Bunn's NPI number?

The NPI number for Marissa Bunn is 1265314314. It was assigned to this individual provider in the NPPES registry on July 21, 2025. The provider is also known as Marissa Simone Petri PA.

Q: What is Marissa Bunn'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 Marissa Bunn was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 21, 2025PECOS EnrolledAccepts Medicare Assignment

1313 CAROLINA ST STE 101, GREENSBORO, NC 27401(336) 235-4372(336) 235-4381 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Nov 18, 2025, Sep 8, 2025 (3 updates tracked since 2025).

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About Marissa Simone Bunn NPPES

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

MARISSA SIMONE BUNN (NPI 1265314314) is an individual physician assistant in Greensboro, North Carolina, licensed in North Carolina (0010-15543) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265314314

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARISSA SIMONE BUNN

Location Address1313 CAROLINA ST STE 101Greensboro, NC 27401-6002

Mailing Address1313 Carolina St Ste 101Greensboro, NC 27401-6002 · (336) 235-4372 · Fax (336) 235-4381

Phone(336) 235-4372

Fax(336) 235-4381

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 21, 2025

Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1265314314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-15543

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.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 0010-15543 (NC)

1313 CAROLINA ST STE 101, Greensboro, NC 27401

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Other Names 1

Former Name (1)Marissa Simone Petri Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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 Simone Bunn 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 ID2567950371

PECOS Enrollment IDI20251023001642

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR MACKENZIE DALE PA-C

Physician Assistant