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MARISA LOUISE SHAKER PA
NPI 1659306314
Physician Assistant - Medical in Waterbury, CT

Active since July 11, 2006PECOS Enrolled
56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-3538(203) 709-7258 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Marisa Louise Shaker Pa NPPES

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

MARISA LOUISE SHAKER PA (NPI 1659306314) is an individual medical provider in Waterbury, Connecticut, licensed in Connecticut (001133) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659306314
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARISA LOUISE SHAKERCredential: PA
Location Address56 FRANKLIN STWaterbury, CT 06706-1221
Mailing AddressPo Box 1090Windsor, CT 06095-6190 · (203) 709-3800 · Fax (203) 709-3869
Phone(203) 709-3538
Fax(203) 709-7258
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1659306314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 001133
56 FRANKLIN ST, Waterbury, CT 06706
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Louise Shaker Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CHARIS WIPFLER
Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (860) 709-6140
SHANZAY HAIDER M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-8685
DENISSE BURGOS-JIMENEZ
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (860) 989-6067
SYED FARHAN IQBAL RIZVI M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-8820
YAEL MARITZA CALLE
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (516) 993-0460
DR. JOSEPH D SCUDERI M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
MAPLE EMERGENCY PHYSICIANS, LLC
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (469) 401-2386
MIGUEL ANGEL BRAVO JR. MD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479

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 Shaker's NPI number?

The NPI number for Marisa Shaker is 1659306314. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Marisa Shaker located?

Marisa Shaker practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-3538.

What is Marisa Shaker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marisa Shaker enrolled in Medicare?

Yes. Marisa Shaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisa Shaker was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.