MARISA ALEXANDRA MATTHEWS
NPI 1477302164
Physician Assistant in Bristol, CT

Active since May 15, 2024PECOS EnrolledAccepts Medicare Assignment
41 BREWSTER RD, BRISTOL, CT 06010(860) 585-3000 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisa Alexandra Matthews NPPES

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

MARISA ALEXANDRA MATTHEWS (NPI 1477302164) is an individual physician assistant in Bristol, Connecticut and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477302164
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISA ALEXANDRA MATTHEWS
Location Address41 BREWSTER RDBristol, CT 06010-5161
Mailing Address75 Rockwood DrSouthington, CT 06489-4621 · (860) 329-5818
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
NPI 1477302164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
41 BREWSTER RD, Bristol, CT 06010

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

Marisa Alexandra Matthews 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 ID648704072
PECOS Enrollment IDI20241107003494
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 06010 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 20

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

Dietitian, Registered
41 BREWSTER RD
BRISTOL, CT 06010
Emergency Medicine
41 BREWSTER RD
BRISTOL, CT 06010
Psychiatric Unit
41 BREWSTER RD
BRISTOL, CT 06010
Anesthesiology
41 BREWSTER RD
BRISTOL, CT 06010
Student in an Organized Health Care Education/Training Program
41 BREWSTER RD
BRISTOL, CT 06010
Anesthesiology
41 BREWSTER RD
BRISTOL, CT 06010
Physician Assistant (Medical)
41 BREWSTER RD
BRISTOL, CT 06010
Internal Medicine
41 BREWSTER RD
BRISTOL, CT 06010

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 Marisa Matthews's NPI number?

The NPI number for Marisa Matthews is 1477302164. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Marisa Matthews located?

Marisa Matthews practices at 41 Brewster Rd, Bristol, CT 06010. The listed phone number is (860) 585-3000.

What is Marisa Matthews's specialty?

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

Is Marisa Matthews enrolled in Medicare?

Yes. Marisa Matthews 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 Marisa Matthews was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.