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Active NPI 1396479903 Individual Practitioner Female Practitioner

Marissa Sue Madison , PA

Physician Assistant • Kingman, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marissa Madison, PA is a certified Physician Assistant practicing in Kingman, AZ. With approximately 3 years of clinical experience since graduating from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2023, Marissa Madison delivers high-quality medical care to the local community at 3269 N STOCKTON HILL RD.

Marissa Madison is affiliated with Kingman Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, repair of hernia of muscle at esophagus and stomach using an endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3269 N Stockton Hill Rd

Kingman, AZ 864093619

Telephone 9287572101
Associated Practice Facility / Clinic
🏢 Kingman Healthcare, Inc Facility NPI 1265423917

Medicare Profile & Education

Medical School

At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kingman, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -6.9 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Kingman, AZ (3711 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Madison (3 Years) 3 Yrs
Kingman Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
110 87 $438.00 $103.76
99213 Established patient office or other outpatient visit, typically 15 minutes
69 56 $297.00 $74.68
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope
19 19 $6440.00 $190.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $439.00 $91.28
32674 Removal of lymph nodes of chest cavity using an endoscope
12 12 $897.00 $27.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 12 $179.00 $46.43

Medical Specialties & State Licenses

CMS Verified: 2023-11-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 9941

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License AZ 9941

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Hospital & Practice Group Affiliations

Kingman Healthcare Inc

1739 E Beverly Ave, Kingman, AZ 864093593

Kingman Healthcare Inc

3269 N Stockton Hill Rd, Kingman, AZ 864093619

Kingman Healthcare Inc

4995 E Hwy 68, Golden Valley, AZ 864135500

Phone: 9286818500

Kingman Healthcare Inc

3269 N Stockton Hill Rd, Kingman, AZ 864093619

Phone: 9282634722

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sarah Shepherd , DO

Emergency Medicine

NPI 1003124348

Doctor of Osteopathic Medicine (D.O.)

Dr. Caridad Padron , MD

Internal Medicine

NPI 1003310616

Doctor of Medicine (M.D.)

Dr. Brandon Perry , DO

Student in an Organized Health Care Education/Training Program

NPI 1053150615

Doctor of Osteopathic Medicine (D.O.)

NPI 1053206060

Doctor of Osteopathic Medicine (D.O.)

Juvy Escalante , PA

Physician Assistant

NPI 1053650416

Physician Assistant

Michael Ritch , FNP-C

Nurse Practitioner - Family

NPI 1063396802

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 01, 2023

Registered at 3269 N STOCKTON HILL RD, KINGMAN, AZ 864093619 (Tel: 9287572101)

📍
Updated Business Mailing Address November 01, 2023

Registered at 3269 N STOCKTON HILL RD, KINGMAN, AZ 864093619

👤
Provider Name / Credentials Updated November 01, 2023

Recorded as MARISSA MADISON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2023

Physician Assistant (License #9941 in AZ)

NPI Profile Active July 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2022

Registered at 5850 E STILL CIR, MESA, AZ 852063618 (Tel: 6238502624)

📍
Updated Business Mailing Address July 11, 2022

Registered at 5850 E STILL CIR, MESA, AZ 852063618

👤
Provider Name / Credentials Updated July 11, 2022

Recorded as MARISSA STANGE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 11, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396479903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2022
Last Update: November 01, 2023
Sole Proprietor: No

Mailing Address

3269 N Stockton Hill Rd

Kingman, AZ 864093619

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.