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

Miss. Marissa C Huntsman

Individual provider Family Nurse Practitioner · NPI 1366706921

Miss. Marissa C Huntsman is a Nurse Practitioner in Austin, Texas. Qualified in 2012, 14 years ago. Practices with The Austin Diagnostic Clinic PLLC, a 87-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

12221 N Mopac Expy
Austin, TX 78758-2401
Phone: (512) 901-4009
Fax: (512) 901-3909
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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 AP122345 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 717451 (TX)

Record details

NPI number1366706921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2012
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The Austin Diagnostic Clinic Pllc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Austin