Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Marissa B Bothun, P.A.-C.
Physician Assistant in Rockwall, TX · enumerated 2011.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1942507207
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Registry record
Entity type Individual (Type 1)
Name Marissa B Bothun
Credential P.A.-C.
Sex Female
Practice address 1020 W Ralph Hall Pkwy Ste 102, Rockwall, TX, 75032
Phone (972) 390-9002
Fax (972) 722-3553
Enumeration date Feb 23, 2011
Last updated in NPPES Dec 8, 2025
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA07230 (TX) Primary
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.
Frequently asked questions
Where does Marissa Bothun practice?
The practice location on file with NPPES is in Rockwall, TX. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Marissa Bothun?
The National Provider Identifier (NPI) for Marissa Bothun is 1942507207, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-08.