Maryssa Depies
Physician Assistant, Medical in Hillsdale, MI. Individual provider (NPI-1).
NPI number1144902206
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1144902206
- Entity type
- Individual (NPI-1)
- Name
- Maryssa Depies
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2023
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
3240 W Carleton Rd Ste BHillsdale, MI 49242-9027
Phone 517-610-5469 · Fax 517-586-0228
Mailing address
59 S West St Apt 1Hillsdale, MI 49242-1880
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