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

Marisa Drevenak, PA-C

Individual provider Physician Assistant · NPI 1184372898

Marisa Drevenak, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2022, 4 years ago. Practices with Physicians Eldercare PA, a 228-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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

4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone: (337) 991-9276
Fax: (337) 943-0846
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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 001012412 (NC)

Record details

NPI number1184372898
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

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 Physicians Eldercare Pa — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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