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DR. MARISSA IRENE ACEVEDO DC
NPI 1679200109
Chiropractor in Springdale, AR

Active since August 04, 2022
1105 SHIPLEY ST, SPRINGDALE, AR 72764(479) 715-3265(479) 365-7444 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2025, Dec 27, 2024, Apr 26, 2024 and 1 more (4 updates tracked since 2022).

About Dr. Marissa Irene Acevedo Dc NPPES

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

DR. MARISSA IRENE ACEVEDO DC (NPI 1679200109) is an individual chiropractor in Springdale, Arkansas, licensed in Arkansas (16357) and active in the NPI registry since August 2022. She is a graduate of Cleveland Chiropractic College - Kansas City (2022).

NPPES Registry Identity

NPI1679200109
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARISSA IRENE ACEVEDOCredential: DC
Location Address1105 SHIPLEY STSpringdale, AR 72764-5453
Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 571-0222
Phone(479) 715-3265
Fax(479) 365-7444
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2022
Enumeration DateAugust 4, 2022
Last NPPES UpdateFebruary 20, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1679200109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AR · 16357
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1105 SHIPLEY ST, Springdale, AR 72764
Open in Google Maps ↗

Other Names 1

Former Name (1)Marissa Irene Leivan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marissa Irene Acevedo Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234512484
PECOS Enrollment IDI20220819002953

Medicare Billing Reassignment

Medicare enrollment records show Marissa Acevedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Perfect Circle Chiropractic, LLC
0.5 mi
Chiropractor
1391 PLAZA PL STE B
Springdale, AR 72764
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
NPI 1447751490 (479) 715-3265

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
217 services49 patients

Other Providers at the Same Location NPPES

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

BODY & SOUL THERAPY, PLLC
Occupational Therapist
1105 SHIPLEY ST
SPRINGDALE, AR 72764
Washington County (479) 381-4866

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 Acevedo's NPI number?

The NPI number for Marissa Acevedo is 1679200109. It was assigned to this individual provider in the NPPES registry on August 4, 2022. The provider is also known as Marissa Irene Leivan.

Where is Marissa Acevedo located?

Marissa Acevedo practices at 1105 Shipley St, Springdale, AR 72764. The listed phone number is (479) 715-3265.

What is Marissa Acevedo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Marissa Acevedo enrolled in Medicare?

Yes. Marissa Acevedo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Acevedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Acevedo reassigns Medicare benefits to Perfect Circle Chiropractic, LLC (Springdale, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Acevedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Acevedo accept?

Health plans from Providence Health Plan list Marissa Acevedo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Acevedo was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.