MARION ELSA GABOU DESSALINES PA-C
NPI 1548082647
Physician Assistant in Edwardsville, IL

Q: What is Marion Dessalines's NPI number?

The NPI number for Marion Dessalines is 1548082647. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Q: What is Marion Dessalines'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 Marion Dessalines was last updated on January 30, 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 October 29, 2024PECOS Enrolled

2122 TROY RD STE 130, EDWARDSVILLE, IL 62025(618) 800-4595(618) 800-4501 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marion Elsa Gabou Dessalines Pa-c NPPES

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

MARION ELSA GABOU DESSALINES PA-C (NPI 1548082647) is an individual physician assistant in Edwardsville, Illinois, licensed in Illinois (085010947) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548082647

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARION ELSA GABOU DESSALINESCredential: PA-C

Location Address2122 TROY RD STE 130Edwardsville, IL 62025-2540

Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (618) 800-4595 · Fax (618) 800-4501

Phone(618) 800-4595

Fax(618) 800-4501

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 29, 2024

Last NPPES UpdateJanuary 30, 2026

NPPES CertifiedJanuary 30, 2026

✔ NPI 1548082647 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 IL · 085010947

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.

2122 TROY RD STE 130, Edwardsville, IL 62025

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Secondary Practice Locations 2

Location 12861 Madison AveGranite City, IL 62040-3614 · Phone (618) 709-7723

Location 22801 W Main StBelleville, IL 62226-6646 · Phone (618) 416-2018

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marion Elsa Gabou Dessalines Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325576937

PECOS Enrollment IDI20250110000508

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 62025 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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 13

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

RANITA R KELLER FNP

Nurse Practitioner (Family)