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

Marisa Bocklet

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023871373

Marisa Bocklet is a Physician Assistant in Concord, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2022, 4 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
Medical University of South Carolina College of Medicine
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

100 Medical Park Dr Ste 310A
Concord, NC 28025-2966
Phone: (704) 403-2660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023871373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2024
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address100 Medical Park Dr Ste 310, Concord, NC 28025-2966

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Concord