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

Marissa Nicole Mutzek, PA-C

Individual provider Medical Physician Assistant · NPI 1144768466

Marissa Nicole Mutzek, PA-C is a Physician Assistant in Middletown, New York. Qualified in 2016, 10 years ago. Practices with Crystal Run Healthcare Physicians LLP, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
10
Licensed in
NY, PA
In the registry since
2017
Specialties on file
2
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

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone: (845) 703-6999
Fax: (845) 703-6297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 033601 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA058716 (PA)

Record details

NPI number1144768466
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 7, 2017
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Crystal Run Healthcare Physicians Llp — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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