MRS. MARISSA CARR KENYON PA-C
NPI 1366829954
Physician Assistant in Troy, MI
About Mrs. Marissa Carr Kenyon Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARISSA CARR KENYON PA-C (NPI 1366829954) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601007066) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mrs. Marissa Carr Kenyon Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48085 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.
TROY, MI 48085
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 Kenyon's NPI number?
The NPI number for Marissa Kenyon is 1366829954. It was assigned to this individual provider in the NPPES registry on May 3, 2015. The provider is also known as Ms. Marissa Lauren Carr Pa-C.
Where is Marissa Kenyon located?
Marissa Kenyon practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-5000.
What is Marissa Kenyon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Marissa Kenyon enrolled in Medicare?
Yes. Marissa Kenyon 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 Kenyon accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Marissa Kenyon 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 Kenyon was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Marissa Carr Kenyon, PA-C · NPI 1366829954
Physician Assistant physician in Troy, Michigan. Individual provider, active in the CMS NPPES registry since May 3, 2015.
## Identity
- **NPI:** 1366829954 (Entity type: Individual)
- **Enumerated:** May 3, 2015
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5601007066 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 44201 DEQUINDRE RD, Troy, MI 48085-1117
- **Phone:** (248) 964-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366829954) · Data from the CMS NPPES public registry.