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

Marissa Clorinda Roberts, PA-C

Individual provider Physician Assistant · NPI 1366193179

Marissa Clorinda Roberts, PA-C is a Physician Assistant in Baltimore, Maryland. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2022
Specialties on file
2
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

4940 Eastern Ave Fl PEDS4
Baltimore, MD 21224-2735
Phone: (410) 550-0301
Fax: (410) 550-1739
Show map & directions

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

Additional practice locations (1)

  • 2333 Ontario Rd Nw, Washington, DC 20009-2627 — (202) 483-8196

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C08560 (MD)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1366193179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2022
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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