MS. MARISA LARAE NEELEY PA-C
NPI 1891670477
Physician Assistant - Medical in Cameron Park, CA
About Ms. Marisa Larae Neeley Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARISA LARAE NEELEY PA-C (NPI 1891670477) is an individual medical provider in Cameron Park, California, licensed in California (PA66873) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
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
Ms. Marisa Larae Neeley 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Neeley's NPI number?
The NPI number for Marisa Neeley is 1891670477. It was assigned to this individual provider in the NPPES registry on August 11, 2025.
Where is Marisa Neeley located?
Marisa Neeley practices at 3581 Palmer Dr Ste 602, Cameron Park, CA 95682. The listed phone number is (530) 672-7000.
What is Marisa Neeley's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Marisa Neeley enrolled in Medicare?
Yes. Marisa Neeley 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.
When was this NPI record last updated?
The NPPES record for Marisa Neeley was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ms. Marisa Larae Neeley, PA-C · NPI 1891670477
Medical physician in Cameron Park, California. Individual provider, active in the CMS NPPES registry since August 11, 2025.
## Identity
- **NPI:** 1891670477 (Entity type: Individual)
- **Enumerated:** August 11, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA66873 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3581 PALMER DR STE 602, Cameron Park, CA 95682-8238
- **Phone:** (530) 672-7000
## 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 2025
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891670477) · Data from the CMS NPPES public registry.