Marisa Gholson
NPI 1194103176 · Physician Assistant · Vancouver, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1194103176
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA179365 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
211 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $77 |
| Pelvic Exam99459 | 47 | $20 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 36 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $108 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 22 | $10 |
| Magnesium Level83735 | 21 | $7 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 35 | — |
| Oxycodone Hcl | 29 | 24 |
| Lidocaine/Prilocainebrand: Lidocaine-Prilocaine | 18 | — |
| Prochlorperazine Maleate | 18 | — |
| Apixabanbrand: Eliquis | 15 | — |
| Megestrol Acetate | 14 | — |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er |
Practice location
Mailing address
Additional practice locations (3)
- 3181 Sw Sam Jackson Park Rd # Gh219Portland, OR 97239-3011Phone: (503) 494-3633
- 9555 Sw Barnes RdPortland, OR 97225-6663Phone: (360) 597-1300
- 3181 Sw Sam Jackson Park Rd # Gh219Portland, OR 97239-3011Phone: (503) 494-3633
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.