Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deandra Marissah Thompson, PA

Individual provider Physician Assistant · NPI 1134877939

Deandra Marissah Thompson, PA is a Physician Assistant in Fairfield, Illinois. Qualified in 2022, 4 years ago. Practices with Fairfield Memorial Hospital Association, a 35-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

303 NW 11th St
Fairfield, IL 62837-1206
Phone: (618) 842-2611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1134877939
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022
Mailing address613 W 12th St, Flora, IL 62839-1066

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fairfield Memorial Hospital Association — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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