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

Marissa Meredith

Individual provider Physician Assistant · NPI 1033009980

Marissa Meredith is a Physician Assistant in Denver, Colorado. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Colorado.

Years since qualifying
1
Licensed in
CO
In the registry since
2025

Practice location Address checks out

777 Bannock St
Denver, CO 80204-4507
Phone: (303) 436-4949
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.9503 (CO)

Record details

NPI number1033009980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address777 Bannock St, Denver, CO 80204-4507

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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