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

Marissa Ann Clark

Individual provider Family Nurse Practitioner · NPI 1205789815

Marissa Ann Clark is a Nurse Practitioner in Hyannis, Massachusetts. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2026

Practice location Address checks out

27 Park St
Hyannis, MA 02601-5230
Phone: (774) 521-6201
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2279347 (MA)

Record details

NPI number1205789815
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing addressPo Box 1301, Eastham, MA 02642-1301

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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