Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Marisa Gardner , PA-C

Physician Assistant β€’ Manistee, MI

Active NPI 1780979971 Individual Practitioner Female Practitioner
Practice location in NPPES

1293 E Parkdale Ave
Manistee, MI 49660

Call 2313981735 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1293 E Parkdale Ave

Manistee, MI 49660

Telephone 2313981735
Organization at the Same NPPES Address or Phone
West Shore Health Centers Corporation Facility NPI 1376645416

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Coconut Creek, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Manistee and Michigan

6 active clinicians are listed under Physician Assistant with a practice address in Manistee, MI (6,989 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601006014

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9108031

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

5300 W Hillsboro Blvd, Suite 107

Coconut Creek, FL 330734395

Phone: 9547254141

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Robert Barry , MD

Orthopaedic Surgery

NPI 1235131855

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 21, 2019

Registered at 1293 E PARKDALE AVE, MANISTEE, MI 49660 (Tel: 2313981735)

πŸ“
Updated Business Mailing Address August 21, 2019

Registered at 1293 E PARKDALE AVE STE 2300B, MANISTEE, MI 496608989 (Tel: 2313981735)

βœ…
NPI Profile Active November 02, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 02, 2015

Registered at 5300 W HILLSBORO BLVD, SUITE 107, COCONUT CREEK, FL 330734395 (Tel: 9547254141)

πŸ“
Business Mailing Address (Initial Record) November 02, 2015

Registered at 5300 W HILLSBORO BLVD, SUITE 107, COCONUT CREEK, FL 330734395 (Tel: 9547254141)

πŸ‘€
Provider Name / Credentials (Initial Record) November 02, 2015

Recorded as MARISA GARDNER, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2015

Physician Assistant (license number reported to NPPES: FL PA9108031)

🟒
Initial NPI Registration & Enumeration June 15, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1780979971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2011
Last Update: August 21, 2019
Sole Proprietor: No

Other Physician Assistants in Manistee

Mailing Address

1293 E Parkdale Ave Ste 2300b

Manistee, MI 496608989

Phone: 2313981735

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.