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MARISSA LUM
NPI 1679138895
Physician Assistant in Miami Shores, FL

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
11300 NE 2ND AVE, MIAMI SHORES, FL 33161(305) 899-3000 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2019, May 2, 2019 (2 updates tracked since 2019).

About Marissa Lum NPPES

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

MARISSA LUM (NPI 1679138895) is an individual physician assistant in Miami Shores, Florida and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679138895
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA LUM
Location Address11300 NE 2ND AVEMiami Shores, FL 33161-6628
Mailing Address11300 Ne 2nd AveMiami Shores, FL 33161-6628
Phone(305) 899-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 2, 2019
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1679138895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
11300 NE 2ND AVE, Miami Shores, FL 33161
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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 and accepts Medicare assignment

Marissa Lum 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 ID7810429131
PECOS Enrollment IDI20241011000947
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.

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33161 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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 20

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

KAYLEE EILEEN YAGER PA
Physician Assistant
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
CHELSEA ANN PADUANO
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
KEVIN L COLON-RODRIGUEZ
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
LUISA LEMOS
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
KATE MACKENZIE WELZ
Physician Assistant
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
SARAH LUCY EVANS CRNA
Nurse Anesthetist, Certified Registered
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (360) 621-3275
THERESA REYNOSO-IBARRA PA-C
Physician Assistant
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
MISS MARNIE LARISSA HAWES I ATC
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000

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 Lum's NPI number?

The NPI number for Marissa Lum is 1679138895. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Marissa Lum located?

Marissa Lum practices at 11300 NE 2nd Ave, Miami Shores, FL 33161. The listed phone number is (305) 899-3000.

What is Marissa Lum's specialty?

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

Is Marissa Lum enrolled in Medicare?

Yes. Marissa Lum 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 Lum affiliated with any hospitals?

According to CMS data, Marissa Lum is affiliated with Maimonides Medical Center.

When was this NPI record last updated?

The NPPES record for Marissa Lum was last updated on January 17, 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.