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

Marissa Sue Madison, PA

Individual provider Physician Assistant · NPI 1396479903

Marissa Sue Madison, PA is a Physician Assistant in Kingman, Arizona. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2023, 3 years ago. Practices with Kingman Healthcare Inc, a 180-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone: (928) 757-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9941 (AZ)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 9941 (AZ)

Record details

NPI number1396479903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2023 (3 years in practice)
Group practice Kingman Healthcare Inc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kingman