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

Individual provider Gerontology Nurse Practitioner · NPI 1609931963

Marissa Lynn Saengsamran, APRN, BC is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2004, 22 years ago. Practices with Forefront Dermatology SC, a 645-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2006
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

816 S Kirkwood Rd Ste 210
Saint Louis, MO 63122-6056
Phone: (314) 645-4500
Fax: (314) 645-5907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2001015646 (MO)

Record details

NPI number1609931963
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , BC
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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