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

Marissa Anne Miller, PA

Individual provider Physician Assistant · NPI 1093480758

Marissa Anne Miller, PA is a Physician Assistant in Lonoke, Arkansas. Qualified in 2020, 6 years ago. Practices with Nephrology Associates PA, a 12-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1010 N Center St
Lonoke, AR 72086-2005
Phone: (501) 438-8075
Fax: (870) 856-2107
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PT2021 (AR)

Record details

NPI number1093480758
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 13, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nephrology Associates Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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