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

Marissa Hakes, RN, CNM

Individual provider Advanced Practice Midwife · NPI 1164107850

Marissa Hakes, RN, CNM is a Certified Nurse Midwife (CNM) in Syracuse, New York. Qualified in 2023, 3 years ago. Practices with Upstate Community Medical, PC, a 152-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

4900 Broad Rd
Syracuse, NY 13215-2265
Phone: (315) 492-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X (NY)
Registered Nurse Taxonomy 163W00000X · Licence 750088 (NY)

Record details

NPI number1164107850
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CNM
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Upstate Community Medical, Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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