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

Marissa B Bothun, PA-C

Individual provider Physician Assistant · NPI 1942507207

Marissa B Bothun, PA-C is a Physician Assistant in Rockwall, Texas. Qualified in 2010, 16 years ago. Practices with Matthew D Barrows MD PA, a 22-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2011
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

1020 W Ralph Hall Pkwy Ste 102
Rockwall, TX 75032-8711
Phone: (972) 390-9002
Fax: (972) 722-3553
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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 PA07230 (TX)

Record details

NPI number1942507207
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2011
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Matthew D Barrows Md Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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