MARISSA JEAN BRUSSTAR PA-C
NPI 1750546396
Physician Assistant - Medical in Philadelphia, PA
About Marissa Jean Brusstar Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA JEAN BRUSSTAR PA-C (NPI 1750546396) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052755) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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 Jean Brusstar Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
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 Brusstar's NPI number?
The NPI number for Marissa Brusstar is 1750546396. It was assigned to this individual provider in the NPPES registry on July 23, 2008.
Where is Marissa Brusstar located?
Marissa Brusstar practices at 51 N 39th St Suite W130, Philadelphia, PA 19104. The listed phone number is (215) 662-9436.
What is Marissa Brusstar's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Marissa Brusstar enrolled in Medicare?
Yes. Marissa Brusstar 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 Brusstar affiliated with any hospitals?
According to CMS data, Marissa Brusstar is affiliated with Pennsylvania Hospital.
When was this NPI record last updated?
The NPPES record for Marissa Brusstar was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Marissa Jean Brusstar, PA-C · NPI 1750546396
Medical physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 23, 2008.
## Identity
- **NPI:** 1750546396 (Entity type: Individual)
- **Enumerated:** July 23, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** MA052755 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 N 39TH ST, SUITE W130, Philadelphia, PA 19104-2640
- **Phone:** (215) 662-9436
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1750546396) · Data from the CMS NPPES public registry.