MARISA RICHARDELLA PA-C
NPI 1902635964
Physician Assistant in Tallahassee, FL

Q: What is Marisa Richardella's NPI number?

The NPI number for Marisa Richardella is 1902635964. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Q: What is Marisa Richardella's specialty?

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

Active since July 29, 2024PECOS Enrolled

1115 W CALL ST, TALLAHASSEE, FL 32304(850) 644-1855 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marisa Richardella Pa-c NPPES

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

MARISA RICHARDELLA PA-C (NPI 1902635964) is an individual physician assistant in Tallahassee, Florida, licensed in Florida (9119680) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2024).

NPPES Registry Identity

NPI1902635964

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARISA RICHARDELLACredential: PA-C

Location Address1115 W CALL STTallahassee, FL 32304-3556

Mailing Address1115 W Call StTallahassee, FL 32304-3556

Phone(850) 644-1855

Sole ProprietorNo

Medical School CMSFlorida State University College Of MedicineGraduated 2024

Enumeration DateJuly 29, 2024

Last NPPES UpdateJuly 31, 2025

NPPES CertifiedJuly 31, 2025

✔ NPI 1902635964 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 FL · 9119680

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.

1115 W CALL ST, Tallahassee, FL 32304

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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)

Marisa Richardella Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830699354

PECOS Enrollment IDI20250820002935

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 32304 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

KATHRYN BOYLAN PA-C

Physician Assistant