Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARISA CONWAY DO
NPI 1689506396
Student in an Organized Health Care Education/Training Program in Lafayette, IN

Q: What is Marisa Conway's NPI number?

The NPI number for Marisa Conway is 1689506396. It was assigned to this individual provider in the NPPES registry on May 29, 2026. The provider is also known as Marisa Arakawa Do.

Q: What is Marisa Conway's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Conway was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 May 29, 2026PECOS Enrolled

5177 MCCARTY LN, LAFAYETTE, IN 47905(765) 838-7101 Get Directions Write a Review

NPPES record added: July 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Marisa Conway Do NPPES

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

MARISA CONWAY DO (NPI 1689506396) is an individual student in an organized health care education/training program in Lafayette, Indiana, licensed in Indiana (11024976A) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689506396

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARISA CONWAYCredential: DO

Location Address5177 MCCARTY LNLafayette, IN 47905-8764

Mailing Address5177 Mccarty LnLafayette, IN 47905-8764 · (765) 448-8100

Phone(765) 838-7101

Sole ProprietorNo

Enumeration DateMay 29, 2026

Last NPPES UpdateJuly 5, 2026

NPPES CertifiedJuly 5, 2026

✔ NPI 1689506396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IN · 11024976A

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5177 MCCARTY LN, Lafayette, IN 47905

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Other Names 1

Former Name (1)Marisa Arakawa Do

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 Conway Do 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.

DR. SIDNEY D BRUCE MD

Surgery