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

Marisa Adams Barrett, PA-C

Individual provider Physician Assistant · NPI 1902794647

Marisa Adams Barrett, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2025, 1 year ago. Licensed in Idaho and Texas.

Years since qualifying
1
Licensed in
ID, TX
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1130 W Prairie Ave
Coeur D Alene, ID 83815-8780
Phone: (208) 209-0288
Fax: (208) 209-0289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5381809 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA19387 (TX)

Record details

NPI number1902794647
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2025
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Coeur D Alene