Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467014472 Individual Practitioner Female Practitioner

Marissa Lyann Carmine , PA-C

Physician Assistant • Wallkill, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marissa Carmine, PA-C is a certified Physician Assistant practicing in Wallkill, NY. With approximately 7 years of clinical experience since completing medical education in 2019, Marissa Carmine delivers high-quality medical care to the local community at 24 OLD FIRE HOUSE RD.

Marissa Carmine is affiliated with Cornerstone Family Healthcare and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

24 Old Fire House Rd

Wallkill, NY 125894600

Telephone 8453936015
Fax 8453936016
Associated Practice Facility / Clinic
🏢 Cornerstone Family Healthcare Facility NPI 1326662008

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wallkill, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs Matches City Avg
City Avg: 7.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Wallkill, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carmine (7 Years) 7 Yrs
Wallkill Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-08-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 023906

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05823914 (NY)
Medicaid State Provider ID
104428864-0001 (PA)

Hospital & Practice Group Affiliations

Cornerstone Family Healthcare

147 Lake St, Newburgh, NY 125505263

Phone: 8455638000

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1912624305

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated August 06, 2026

Recorded as MARISSA CARMINE, PA -C

📍
Updated Practice Location August 15, 2022

Registered at 24 OLD FIRE HOUSE RD, WALLKILL, NY 125894600 (Tel: 8453936015)

📍
Updated Business Mailing Address August 15, 2022

Registered at 2570 ROUTE 9W STE 10, CORNWALL, NY 125181370 (Tel: 8452203100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2022

Physician Assistant (License #023906 in NY)

NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2019

Registered at 1200 STATE ROUTE 208 STE 13, MONROE, NY 109504649 (Tel: 8457836266)

📍
Updated Business Mailing Address July 01, 2019

Registered at 16 SUNNYSIDE RD, BEACON, NY 125082415 (Tel: 8452420745)

👤
Provider Name / Credentials Updated July 01, 2019

Recorded as MARISSA JIMENEZ, PA -C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 01, 2019

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: 1467014472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2019
Last Update: August 06, 2026
Sole Proprietor: No

Mailing Address

2570 Route 9w Ste 10

Cornwall, NY 125181370

Phone: 8452203100

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.