MARISSA L ENGELSON (NPI# 1437707957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437707957 |
| Entity Type | Individual |
| Full Name | MARISSA L ENGELSON |
| Practice Address |
407 E 3rd St Duluth MN 55805-1950 |
| Mailing Address |
1702 University Dr S Fargo ND 58103-4940 |
| Practice Telephone | 2187864000 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 5065-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 13164 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
407 E 3RD ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293347 | Traci A. Rogers | Nurse Practitioner | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2005-05-27 |
| 1265039721 | Mark Nicholas Bloss | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-07 |
| 1679170278 | Paul R Jerve | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-06 |
| 1487280251 | Kara Michelle Nelson | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-12 |
| 1114552619 | Ivy A Kuschke | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-05 |
| 1083246136 | Kristin L Schomburg | Nurse Anesthetist, Certified Registered | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-02-06 |
| 1255987954 | Megan Mcgovern Colborn | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-18 |
| 1033764758 | Patrick E Finnegan | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-08 |
| 1699333658 | Olivia Ann Lambert | Speech-Language Pathologist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-06-04 |
| 1003471228 | Mary F Hunt | Physical Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396622 | Sarah Cheeney | Physician Assistant | 2803 E 8th St, Duluth, MN 55812-1518 | 2020-04-30 |
| 1144841552 | Jake L Mcgraw | Physician Assistant | 2006 N 51st Ave E, Duluth, MN 55804-1251 | 2020-04-27 |
| 1053931451 | Maggie Ferguson | Physician Assistant | 4219 Mcculloch St, Duluth, MN 55804-1934 | 2020-04-26 |
| 1174143093 | Melissa Dybvig | Physician Assistant | 825 N 43rd Ave E, Duluth, MN 55804-1939 | 2020-04-21 |
| 1033667266 | Wossen Adinew Asfaw | Physician Assistant | 3575 Koger Blvd Ste 116, Duluth, GA 30096-7559 | 2016-09-16 |
| 1629457981 | David John Willard | Physician Assistant | 4245 Pleasant Hill Rd, Duluth, GA 30096-6332 | 2015-05-20 |
| 1992065973 | Esther Maria Laucirica | Physician Assistant | 2159 Wynnton Point, Duluth, GA 30097 | 2012-05-23 |
| 1033419155 | Danielle Jackson | Physician Assistant | 1845 Satellite Blvd Nw, Duluth, GA 30097-5256 | 2010-10-22 |
| 1811202534 | Sharon Alston | Physician Assistant | 1580 Boggs Rd, 700, Duluth, GA 30096-1229 | 2010-08-18 |
| 1942496112 | Caroline A Woods | Physician Assistant | 32 E 1st St, Womens Health Ctr, Duluth, MN 55802 | 2007-09-20 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.