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MARISSA MARIE KING PA-C
NPI 1518522648
Physician Assistant in Jacksonville, FL

Active since May 03, 2019PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
836 PRUDENTIAL DR STE 1700, JACKSONVILLE, FL 32207(904) 398-0125(904) 398-1832 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 4, 2024, Dec 29, 2020, Dec 7, 2020 and 3 more (6 updates tracked since 2019).

About Marissa Marie King Pa-c NPPES

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

MARISSA MARIE KING PA-C (NPI 1518522648) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9112507) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518522648
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA MARIE KINGCredential: PA-C
Location Address836 PRUDENTIAL DR STE 1700Jacksonville, FL 32207-8344
Mailing AddressPo Box 43667Jacksonville, FL 32203-3667 · (904) 720-0599 · Fax (904) 376-4036
Phone(904) 398-0125
Fax(904) 398-1832
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 3, 2019
Last NPPES UpdateApril 4, 20246 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1518522648 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 FL · PA9112507
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.
836 PRUDENTIAL DR STE 1700, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17047 Deer Lodge Cir Unit 105Jacksonville, FL 32256-8529 · Phone (727) 667-3937
Location 2100 Whetstone Pl Ste 102St Augustine, FL 32086 · Phone (904) 342-8300

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 Marie King 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.

PECOS PAC ID5597197863
PECOS Enrollment IDI20191107002628
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.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier20 claims20 services$2,372.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. BHARAT KUMAR GUMMADI MD
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
MARY SLOAN COURTNEY APRN
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. SALIL J. PATEL MD
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. MATTHEW STEPHEN MCKILLOP M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. CARL DAVID HASSEL MD
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
MRS. KIMBERLY MARIE PETRAGNANI ARNP
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
CHRISTINA P BACH APRN
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125
DR. CHRISTOPHER P RUISI M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Duval County (904) 398-0125

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 King's NPI number?

The NPI number for Marissa King is 1518522648. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Marissa King located?

Marissa King practices at 836 Prudential Dr Ste 1700, Jacksonville, FL 32207. The listed phone number is (904) 398-0125.

What is Marissa King's specialty?

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

Is Marissa King enrolled in Medicare?

Yes. Marissa King 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.

Is Marissa King affiliated with any hospitals?

According to CMS data, Marissa King is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Marissa King was last updated on April 4, 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.