MS. MARISSA LYANN CARMINE PA -C
NPI 1467014472
Physician Assistant in Wallkill, NY
About Ms. Marissa Lyann Carmine Pa -c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARISSA LYANN CARMINE PA -C (NPI 1467014472) is an individual physician assistant in Wallkill, New York, licensed in New York (023906) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
Ms. Marissa Lyann Carmine 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 12589 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
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 Carmine's NPI number?
The NPI number for Marissa Carmine is 1467014472. It was assigned to this individual provider in the NPPES registry on July 1, 2019. The provider is also known as Marissa L Jimenez.
Where is Marissa Carmine located?
Marissa Carmine practices at 24 Old Fire House Rd, Wallkill, NY 12589. The listed phone number is (845) 393-6015.
What is Marissa Carmine's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Marissa Carmine enrolled in Medicare?
Yes. Marissa Carmine 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.
When was this NPI record last updated?
The NPPES record for Marissa Carmine was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Ms. Marissa Lyann Carmine, PA -C · NPI 1467014472
Physician Assistant physician in Wallkill, New York. Individual provider, active in the CMS NPPES registry since July 1, 2019.
## Identity
- **NPI:** 1467014472 (Entity type: Individual)
- **Enumerated:** July 1, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 023906 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 24 OLD FIRE HOUSE RD, Wallkill, NY 12589-4600
- **Phone:** (845) 393-6015 · **Fax:** (845) 393-6016
## 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 2019
## Record status
- **NPPES last updated:** August 6, 2026
- **Other identifiers:** Medicaid 05823914 (NY); Medicaid 104428864-0001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1467014472) · Data from the CMS NPPES public registry.