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

Marissa Johnson, PA-C

Individual provider Physician Assistant · NPI 1629474028

Marissa Johnson, PA-C is a Physician Assistant in Austin, Texas. Qualified in 2014, 12 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
12
In the registry since
2014
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

8015 Shoal Creek Blvd Ste 103
Austin, TX 78757-8051
Phone: (512) 467-7246
Fax: (512) 467-7247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3613 Williams Dr Ste 802, Georgetown, TX 78628-1374 — (512) 467-7246

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629474028
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 12, 2014
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address7951 Shoal Creek Blvd Ste 300, Suite 201, Austin, TX 78757-7582

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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