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

MARISA ANNE BROUGH
NPI 1699609933
Physician Assistant in Meriden, CT

Active since June 11, 2026PECOS Enrolled
435 LEWIS AVE, MERIDEN, CT 06451(833) 286-7846 Get Directions Write a Review

NPPES record added: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisa Anne Brough NPPES

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

MARISA ANNE BROUGH (NPI 1699609933) is an individual physician assistant in Meriden, Connecticut, licensed in Connecticut (7836) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699609933
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISA ANNE BROUGH
Location Address435 LEWIS AVEMeriden, CT 06451-2101
Mailing Address435 Lewis AveMeriden, CT 06451-2101
Phone(833) 286-7846
Sole ProprietorYes
Enumeration DateJune 11, 2026
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1699609933 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 CT · 7836
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.
435 LEWIS AVE, Meriden, CT 06451
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Anne Brough 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06451 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

DR. JORGE ALEJANDRO CARDENAS MD
Emergency Medicine
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8200
AMRITLAL MANJI DALSANIA MD
Anesthesiology
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8164
HENRY VLADYKA PA
Physician Assistant (Surgical)
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8200
CASSIDY ELM
Registered Nurse (Emergency)
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8200
GABRIELLA RIOS
Physician Assistant (Medical)
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8433
ANTHONY JOSEPH BOGUSLAWSKI
Physician Assistant
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8200
LISA M PRANGER
Dietitian, Registered
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (860) 696-6287
SPINE AND PAIN INSTITUTE AT MIDSTATE LLC
Pain Medicine (Interventional Pain Medicine)
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (860) 696-2843

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 Brough's NPI number?

The NPI number for Marisa Brough is 1699609933. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Marisa Brough located?

Marisa Brough practices at 435 Lewis Ave, Meriden, CT 06451. The listed phone number is (833) 286-7846.

What is Marisa Brough's specialty?

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

Is Marisa Brough enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Marisa Brough was last updated on July 9, 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.