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

Marisa Lynn Rogers

Individual provider Physician Assistant · NPI 1013615749

Marisa Lynn Rogers is a Physician Assistant in Manistee, Michigan. Qualified in 2023, 3 years ago. Practices with Interlochen Emergency Group PC, a 50-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone: (616) 988-8220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 748 S Main St, Cheboygan, MI 49721-2220 — (231) 487-2490
  • 416 Connable Ave, Petoskey, MI 49770-2212 — (800) 248-6777

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1013615749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Interlochen Emergency Group Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manistee