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MARISA RENE FULLGRAPP PA-C
NPI 1992399026
Physician Assistant in Bradenton, FL

Active since March 01, 2021PECOS EnrolledAccepts Medicare Assignment
6110 STATE ROAD 70 E, BRADENTON, FL 34203(941) 755-4242 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marisa Rene Fullgrapp Pa-c NPPES

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

MARISA RENE FULLGRAPP PA-C (NPI 1992399026) is an individual physician assistant in Bradenton, Florida, licensed in Florida (PA9114046) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992399026
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISA RENE FULLGRAPPCredential: PA-C
Location Address6110 STATE ROAD 70 EBradenton, FL 34203-9712
Mailing Address4641 Talbot PlSarasota, FL 34241-6148 · (941) 780-8018
Phone(941) 755-4242
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1992399026 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 · PA9114046
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.
6110 STATE ROAD 70 E, Bradenton, FL 34203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Marisa Rene Fullgrapp 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.

PECOS PAC ID4789093345
PECOS Enrollment IDI20210511002513
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 34203 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$184.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MILENA KHORSHID M.D.
Internal Medicine
6110 STATE ROAD 70 E
BRADENTON, FL 34203
Manatee County (941) 755-4242
DR. NICOLE ELAINE MYERS D.O.
Neuromusculoskeletal Medicine & OMM
6110 STATE ROAD 70 E
BRADENTON, FL 34203
Manatee County (941) 755-4242
THOMAS L. PROSSER P.A.
Physician Assistant
6110 STATE ROAD 70 E
BRADENTON, FL 34203
Manatee County (941) 755-4242
JOSEPH BURKE PA-C
Physician Assistant (Medical)
6110 STATE ROAD 70 E
BRADENTON, FL 34203
Manatee County (941) 755-4242

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 Fullgrapp's NPI number?

The NPI number for Marisa Fullgrapp is 1992399026. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Marisa Fullgrapp located?

Marisa Fullgrapp practices at 6110 State Road 70 E, Bradenton, FL 34203. The listed phone number is (941) 755-4242.

What is Marisa Fullgrapp's specialty?

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

Is Marisa Fullgrapp enrolled in Medicare?

Yes. Marisa Fullgrapp 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.

What insurance does Marisa Fullgrapp accept?

Health plans from UnitedHealthcare list Marisa Fullgrapp 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 Marisa Fullgrapp was last updated on March 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.