Marissa Carr Kenyon, PA-C
NPI 1366829954ActiveIndividual· Physician Assistant· Troy, MI
Physician Assistant (PA-C) with Beaumont Medical Group Hospital Based Services, practicing in Troy, Michigan. Part D covered 24 prescriptions written in 2024, 92% of them generic.
Overview
| NPI | 1366829954 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 3, 2015 |
| Last updated in NPPES | Jun 18, 2026 |
| Certified by provider | Jun 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601007066 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $141.87 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Beaumont Medical Group Hospital Based ServicesRoyal Oak, MI · 584 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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