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MARISA LEIGH NICHOLS PA-C
NPI 1518744499
Physician Assistant in Southfield, MI

Active since September 13, 2023
23077 GREENFIELD RD STE 253, SOUTHFIELD, MI 48075(248) 559-5950(248) 559-2103 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Marisa Leigh Nichols Pa-c NPPES

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

MARISA LEIGH NICHOLS PA-C (NPI 1518744499) is an individual physician assistant in Southfield, Michigan, licensed in Michigan (5601012050) and active in the NPI registry since September 2023. She maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1518744499
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISA LEIGH NICHOLSCredential: PA-C
Location Address23077 GREENFIELD RD STE 253Southfield, MI 48075-3750
Mailing Address9919 BerwynRedford, MI 48239-2120 · (734) 386-9425
Phone(248) 559-5950
Fax(248) 559-2103
Sole ProprietorNo
Enumeration DateSeptember 13, 2023
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1518744499 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 MI · 5601012050
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.
23077 GREENFIELD RD STE 253, Southfield, MI 48075
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Other Names 1

Former Name (1)Marisa Leigh Pszczolkowski Pa-c

Secondary Practice Location 1

Location 16001 W Outer Dr Ste 340Detroit, MI 48235-2626 · Phone (313) 341-8166 · Fax (313) 341-8231

Other Providers at the Same Location NPPES

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

DR. TOYIA RICHARDSON DNP, FNP-BC
Nurse Practitioner (Family)
23077 GREENFIELD RD STE 253
SOUTHFIELD, MI 48075
Oakland County (248) 559-5950

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 Nichols's NPI number?

The NPI number for Marisa Nichols is 1518744499. It was assigned to this individual provider in the NPPES registry on September 13, 2023. The provider is also known as Marisa Leigh Pszczolkowski Pa-C.

Where is Marisa Nichols located?

Marisa Nichols practices at 23077 Greenfield Rd Ste 253, Southfield, MI 48075. The listed phone number is (248) 559-5950.

What is Marisa Nichols's specialty?

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

When was this NPI record last updated?

The NPPES record for Marisa Nichols was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.