MRS. MARISSA ANN KUYKENDALL CNM
NPI 1992356588
Advanced Practice Midwife in Tyler, TX

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
928 N GLENWOOD BLVD, TYLER, TX 75702(903) 535-9041 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2023, Sep 25, 2019 (2 updates tracked since 2019).

About Mrs. Marissa Ann Kuykendall Cnm NPPES

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

MRS. MARISSA ANN KUYKENDALL CNM (NPI 1992356588) is an individual advanced practice midwife in Tyler, Texas, licensed in Texas (AP143178) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2019).

NPPES Registry Identity

NPI1992356588
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. MARISSA ANN KUYKENDALLCredential: CNM
Location Address928 N GLENWOOD BLVDTyler, TX 75702-5055
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-9032
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2019
Enumeration DateSeptember 25, 2019
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1992356588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in TX · AP143178
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
928 N GLENWOOD BLVD, Tyler, TX 75702

Other Names 1

Former Name (1)Miss Marissa Cannon Rn

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-9032 · Phone (214) 645-0967

Other Identifiers 1

Medicaid1992356588TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Marissa Ann Kuykendall Cnm 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.

PECOS PAC ID5294168860
PECOS Enrollment IDI20191212001399
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Marissa Kuykendall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
Obstetrics & Gynecology
700 OLYMPIC PLAZA CIR, STE 602
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
825 MEDICAL DR
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 18

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

Obstetrics & Gynecology
928 N GLENWOOD BLVD
TYLER, TX 75702
Obstetrics & Gynecology
928 N GLENWOOD BLVD
TYLER, TX 75702
Obstetrics & Gynecology (Obstetrics)
928 N GLENWOOD BLVD, SUITE 415
TYLER, TX 75702
Clinic/Center (Federally Qualified Health Center (FQHC))
928 N GLENWOOD BLVD
TYLER, TX 75702
Nurse Practitioner (Women's Health)
928 N GLENWOOD BLVD
TYLER, TX 75702
Clinic/Center (Federally Qualified Health Center (FQHC))
928 N GLENWOOD BLVD
TYLER, TX 75702
Clinic/Center (Federally Qualified Health Center (FQHC))
928 N GLENWOOD BLVD
TYLER, TX 75702
Advanced Practice Midwife
928 N GLENWOOD BLVD
TYLER, TX 75702

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 Kuykendall's NPI number?

The NPI number for Marissa Kuykendall is 1992356588. It was assigned to this individual provider in the NPPES registry on September 25, 2019. The provider is also known as Miss Marissa Cannon Rn.

Where is Marissa Kuykendall located?

Marissa Kuykendall practices at 928 N Glenwood Blvd, Tyler, TX 75702. The listed phone number is (903) 535-9041.

What is Marissa Kuykendall's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Marissa Kuykendall enrolled in Medicare?

Yes. Marissa Kuykendall 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.

Which organizations bill Medicare for Marissa Kuykendall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Kuykendall reassigns Medicare benefits to 4 organizations: The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX), Tyler Obstetrics And Gynecology L L P (Tyler, TX), Longview Wellness Center Inc (Tyler, TX) and Obhg Texas Holdings, P.A. (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Kuykendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Kuykendall accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Marissa Kuykendall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Kuykendall was last updated on October 30, 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.