Marisa Gardner, PA-C
NPI 1780979971ActiveIndividual· Physician Assistant· Manistee, MI
Physician Assistant (PA-C) in Manistee, Michigan, licensed in MI and FL, with an NPI issued in June 2011.
Overview
| NPI | 1780979971 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 15, 2011 |
| Last updated in NPPES | Aug 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601006014 | MI |
| Physician Assistant | 363A00000X | PA9108031 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Manistee
- 1760700363
- 1770081002
- 1013615749
- 1538034913
- 1023451887