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

Marissa Felasco, PA

Individual provider Physician Assistant · NPI 1164175618

Marissa Felasco, PA is a Physician Assistant in Auburn, New York. Qualified in 2022, 4 years ago. Practices with Auburn Dermatology PLLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
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

144 Standart Ave
Auburn, NY 13021-1508
Phone: (315) 255-1100
Fax: (315) 255-1322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7040 Manlius Center Rd, East Syracuse, NY 13057-9530 — (315) 478-1100
  • 833 W Genesee Street Rd, Skaneateles, NY 13152-9303 — (315) 685-1100

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 029481 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 029481 (NY)

Record details

NPI number1164175618
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 3, 2022
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Auburn Dermatology Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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