Individual provider Active NPI

Abby Rose Marinello, CRNA

  • Certified Registered Nurse Anesthetist
  • Burnsville, MN
National Provider Identifier
1013344654
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
174800-2 Issued in MN
Practice address
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone
(952) 892-2000
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 174800-2 MN Primary

Addresses

Primary practice location

201 E Nicollet Blvd
Burnsville, MN 55337-5714

Mailing address

1367 Stanford Ave
Saint Paul, MN 55105-2414
Phone (612) 517-8144

Other practice location 1

258 Pinetree Dr.
Bigfork, MN 56628
Phone (218) 743-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131209000885 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163659608 Reassigns benefits to 3 organizations
I20250707002949 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163659608 Reassigns benefits to 1 organization
I20250911004507 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163659608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Assoc of MarylandGroup PAC ID 7012106610, 15 clinicians
Southdale Anesthesiologists LLCGroup PAC ID 6709842461, 62 clinicians

Practice addresses (Care Compare)

10231 Old Ocean City Blvd
Suite 205
Berlin, MD 21811-3568
Phone (410) 641-9482

4010 W 65TH St
Edina, MN 55435-1706
Phone (952) 924-5187

6196 Oxon Hill Rd
Oxon Hill, MD 20745-3100
Phone (703) 780-0994

Hospital & facility affiliations

  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
174800-2MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Assoc of Maryland CurrentSince Jun 29, 2025 Accepting new patients
South Metropolitan Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2017 Accepting new patients
Southdale Anesthesiologists, LLC CurrentSince Nov 20, 2023 Accepting new patients
University Anesthesia Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2020 Accepting new patients

Locations

10231 Old Ocean City Blvd
Ste 205
Berlin, MD 21811
Phone (410) 629-6800

6196 Oxon Hill Rd
Oxon Hill, MD 20745
Phone (301) 567-2900

101 Milford St
Salisbury, MD 21804
Phone (410) 749-9290

14101 Fairview Dr
Burnsville, MN 55337
Phone (612) 672-5346

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

400 10th St E
Waconia, MN 55387

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1013344654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 STANFORD AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052414",
            "telephone_number": "612-517-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E NICOLLET BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375714",
            "telephone_number": "952-892-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 Pinetree Dr.",
            "address_purpose": "LOCATION",
            "city": "Bigfork",
            "state": "MN",
            "postal_code": "56628",
            "country_code": "US",
            "telephone_number": "218-743-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINELLO",
        "first_name": "ABBY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "174800-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.