Marissa Kenyon, PA-C
NPI 1366829954 · Physician Assistant · Detroit, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marissa Kenyon, PA-C is a Physician Assistant provider in Detroit, MI (NPI 1366829954).
Provider details
- NPI number
- 1366829954
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601007066 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-03
- Last updated
- 2015-05-03
Frequently asked questions
- What is Marissa Kenyon's NPI number?
- Marissa Kenyon's National Provider Identifier (NPI) is 1366829954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Kenyon's specialty?
- Marissa Kenyon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marissa Kenyon located?
- Marissa Kenyon's practice location on file with NPPES is 22101 Moross Rd, Detroit, MI 48236-2148.
- What is Marissa Kenyon's phone number?
- The practice phone number listed in the NPPES registry for Marissa Kenyon is (313) 343-4000.
- Does Marissa Kenyon accept Medicare?
- Marissa Kenyon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marissa Kenyon's NPI active?
- Yes — Marissa Kenyon's NPI (1366829954) is active in the NPPES registry as of the last update on 2015-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.