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MARISSA CLORINDA ROBERTS PA-C
NPI 1366193179
Physician Assistant in Baltimore, MD

Active since January 13, 2022PECOS Enrolled
4940 EASTERN AVE FL PEDS4, BALTIMORE, MD 21224(410) 550-0301(410) 550-1739 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2026, Sep 19, 2022, Jan 13, 2022 (3 updates tracked since 2022).

About Marissa Clorinda Roberts Pa-c NPPES

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

MARISSA CLORINDA ROBERTS PA-C (NPI 1366193179) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C08560) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366193179
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA CLORINDA ROBERTSCredential: PA-C
Location Address4940 EASTERN AVE FL PEDS4Baltimore, MD 21224-2735
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Phone(410) 550-0301
Fax(410) 550-1739
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 13, 2022
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1366193179 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 MD · C08560
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.
4940 EASTERN AVE FL PEDS4, Baltimore, MD 21224
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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 Clorinda Roberts Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587049093
PECOS Enrollment IDI20260430004029
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 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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 Roberts's NPI number?

The NPI number for Marissa Roberts is 1366193179. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Marissa Roberts located?

Marissa Roberts practices at 4940 Eastern Ave Fl Peds4, Baltimore, MD 21224. The listed phone number is (410) 550-0301.

What is Marissa Roberts's specialty?

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

Is Marissa Roberts enrolled in Medicare?

Yes. Marissa Roberts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Roberts was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.