MARISSA NEWSOME
NPI 1861363152
Specialist/Technologist, Other - Surgical Assistant in Lexington, KY

Q: What is Marissa Newsome's NPI number?

The NPI number for Marissa Newsome is 1861363152. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Q: What is Marissa Newsome's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Newsome was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 17, 2025PECOS Enrolled

3475 BLAZER PKWY STE 131, LEXINGTON, KY 40509(859) 514-0260 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marissa Newsome NPPES

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

MARISSA NEWSOME (NPI 1861363152) is an individual surgical assistant in Lexington, Kentucky and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861363152

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameMARISSA NEWSOME

Location Address3475 BLAZER PKWY STE 131Lexington, KY 40509-1850

Mailing Address3480 Yorkshire Medical ParkLexington, KY 40509-1886 · (859) 263-5140 · Fax (859) 263-5141

Phone(859) 514-0260

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 17, 2025

NPPES CertifiedSeptember 17, 2025

✔ NPI 1861363152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

3475 BLAZER PKWY STE 131, Lexington, KY 40509

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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 (PECOS)

Marissa Newsome is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406339357

PECOS Enrollment IDI20260310002325

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 6

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

KANSAS STIDHAM

Specialist/Technologist, Other (Surgical Assistant)