MARISSA MACEY GOSSELIN
NPI 1487523627
Physician Assistant in Fort Myers, FL

Q: What is Marissa Gosselin's NPI number?

The NPI number for Marissa Gosselin is 1487523627. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Q: What is Marissa Gosselin'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 Gosselin was last updated on January 29, 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 November 04, 2025PECOS EnrolledAccepts Medicare Assignment

13685 DOCTORS WAY STE 100, FORT MYERS, FL 33912(239) 343-1612(239) 343-4229 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Nov 4, 2025 (2 updates tracked since 2025).

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About Marissa Macey Gosselin NPPES

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

MARISSA MACEY GOSSELIN (NPI 1487523627) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9121072) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Gulf Coast Medical Center Lee Health, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1487523627

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARISSA MACEY GOSSELIN

Location Address13685 DOCTORS WAY STE 100Fort Myers, FL 33912-4337

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1612 · Fax (239) 343-4229

Phone(239) 343-1612

Fax(239) 343-4229

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 4, 2025

Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1487523627 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 FL · PA9121072

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 ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License G245553999050 (FL)

13685 DOCTORS WAY STE 100, Fort Myers, FL 33912

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Secondary Practice Location 1

Location 113681 Doctors WayFort Myers, FL 33912-4300 · Phone (239) 343-1000

Other Identifiers 1

Medicaid129420500FL

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 Macey Gosselin 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 ID1850884149

PECOS Enrollment IDI20251204002792

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.

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 11

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

LILLY ANN BAYOUTH M.D.

Surgery (Trauma Surgery)