Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Marissa Sue Madison, PA

Physician Assistant in Kingman, AZ · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396479903

Verified

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Registry record

Entity type Individual (Type 1)

Name Marissa Sue Madison

Credential PA

Sex Female

Practice address 3269 N Stockton Hill Rd, Kingman, AZ, 86409

Phone (928) 757-2101

Enumeration date Jul 11, 2022

Last updated in NPPES Nov 1, 2023

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9941 (AZ) Primary

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians · License 9941 (AZ) Secondary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Marissa Madison practice?

The practice location on file with NPPES is in Kingman, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Marissa Madison?

The National Provider Identifier (NPI) for Marissa Madison is 1396479903, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Kingman Healthcare, Inc General Acute Care Hospital · Kingman, AZ NPI 1265423917 Peter Snitovsky Orthopaedic Hand Surgery Physician · Kingman, AZ NPI 1710951520 Christine Davis Internal Medicine Physician · Kingman, AZ NPI 1780659201 Michael Moore Geriatric Pharmacist · Kingman, AZ NPI 1043385818 Donald Nelson Anatomic Pathology & Clinical Pathology Physician · Kingman, AZ NPI 1588729685 Lauria Mason Certified Registered Nurse Anesthetist · Kingman, AZ NPI 1225174782 Edgardo Rivera Medical Oncology Physician · Kingman, AZ NPI 1265561070 Dawn Mclaughlin Critical Care Medicine (Internal Medicine) Physician · Kingman, AZ NPI 1326252859

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-01.