Marissa E Jones, PA
Physician Assistant in Indianapolis, IN. Individual provider (NPI-1).
NPI number1952895898
StatusActive
Last updated in NPPESJul 24, 2023
Details
- NPI
- 1952895898
- Entity type
- Individual (NPI-1)
- Name
- Marissa E Jones
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2018
- Certification date
- Jul 24, 2023
- Last updated
- Jul 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10002481A | IN | Yes |
Other names
- Marissa Ehrlich (Former Name)
Practice location
7250 Clearvista Dr Ste 355Indianapolis, IN 46256-5609
Phone 317-621-5676 · Fax 317-621-5678
Mailing address
6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone 317-621-7588
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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