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

Marissa Sue Pfohl

Individual provider Family Nurse Practitioner · NPI 1851525703

Marissa Sue Pfohl is a Nurse Practitioner in Santa Rosa, California. Qualified in 2013, 13 years ago. Practices with County of San Mateo, a 316-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

751 Lombardi Ct
Santa Rosa, CA 95407-6798
Phone: (707) 547-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23585 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 841336 (CA)

Record details

NPI number1851525703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2009
Last updated in NPPESSeptember 23, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice County Of San Mateo — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Rosa