MS. MARISA DANIELLE SMITH PA
NPI 1902340862
Physician Assistant in Raleigh, NC

Q: What is Marisa Smith's NPI number?

The NPI number for Marisa Smith is 1902340862. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Q: What is Marisa Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marisa Smith was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 12, 2016PECOS Enrolled

6026 SIX FORKS RD, RALEIGH, NC 27609(919) 848-0132(919) 848-0277 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, May 15, 2019, Dec 12, 2016 (3 updates tracked since 2016).

On this page

About Ms. Marisa Danielle Smith Pa NPPES

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

MS. MARISA DANIELLE SMITH PA (NPI 1902340862) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-06883) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902340862

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. MARISA DANIELLE SMITHCredential: PA

Location Address6026 SIX FORKS RDRaleigh, NC 27609-3899

Mailing Address7408 Siemens Rd Ste AWendell, NC 27591-8317 · (919) 404-8599 · Fax (919) 404-8673

Phone(919) 848-0132

Fax(919) 848-0277

Sole ProprietorNo

Enumeration DateDecember 12, 2016

Last NPPES UpdateNovember 15, 20233 updates tracked since enumeration

NPPES CertifiedNovember 15, 2023

✔ NPI 1902340862 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 NC · 0010-06883

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.

6026 SIX FORKS RD, Raleigh, NC 27609

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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)

Ms. Marisa Danielle Smith Pa 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 12

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

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