Marissa Amber Van Hennik, PA
Medical Physician Assistant · Waterbury, CT
Marissa Amber Van Hennik, PA is a medical physician assistant with a practice address in Waterbury, Connecticut, and NPI 1740213727, issued on Jul 10, 2006. Check the license (Connecticut 001324, as entered in NPPES) with the Connecticut board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Marissa Amber Van Hennik
- Credential
- PA
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 001324 CT
Self-reported in NPPES; status is on the state search - Practice location
- 56 Franklin St, Waterbury, CT 06706
- Phone
- (203) 709-6004
- Enumerated
- Jul 10, 2006
- Record last updated
- Sep 12, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (203) 709-3700
- Medicare enrollment
- Enrolled (PECOS I20041022000390); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 1,138 in Connecticut → Look up another NPI →
Also registered at 56 Franklin St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Michael Ajemian, MDSurgery Physician1699702357
- Abeera Akram, MDCardiovascular Disease Physician1497240238
Verify Marissa Amber Van Hennik in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
Search for license 001324Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Urgent Care Medical Center LLCEllington, CT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marissa Amber Van Hennik among 1,138 medical physician assistant records in Connecticut
Marissa Amber Van Hennik, PA is one of 1,138 medical physician assistant records with a practice address in Connecticut. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 76% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2002 · median 2015 among the 732 with a school on file
- Record last updated2007 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
52 medical physician assistant records list a practice address in Waterbury
They are 52 of the 3,148 NPPES records with a practice address in Waterbury, and 1,138 medical physician assistant records in Connecticut.
All 1,138 in Connecticut → Every provider in Waterbury → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Angela Barrows, PAWaterbury, CT 067061356370662
- Jaclyn Brancato, PAWaterbury, CT 067061699956961
- Isabel Brodersen, PAWaterbury, CT 067061144247966
- James Gerace, PAWaterbury, CT 067061508887936
- Kalin HaleyWaterbury, CT 067061245613199
- Kaitlyn Jennings, PA-CWaterbury, CT 067061902255086
- Michelle Lachance, PAWaterbury, CT 067061154357671
- Meghan Petitti, PA-CWaterbury, CT 067061194066977
Common questions
What is Marissa Amber Van Hennik, PA's NPI number?
Marissa Amber Van Hennik, PA's National Provider Identifier (NPI) is 1740213727, issued on Jul 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Marissa Amber Van Hennik, PA located?
The NPPES record lists a practice address at 56 Franklin St, Waterbury, CT, 06706. Phone: (203) 709-6004. Providers update this record themselves, so call before visiting.
How can I verify Marissa Amber Van Hennik, PA's license?
NPPES lists Connecticut license number 001324, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.