Active NPI
Abby Rose Marinello, CRNA
- Certified Registered Nurse Anesthetist
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 174800-2
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
Enrollment records 3
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174800-2 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Assoc of Maryland | Current | Accepting new patients | |
| South Metropolitan Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southdale Anesthesiologists, LLC | Current | Accepting new patients | |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Edina, MN
- NPI 1154381804
-
- Certified Registered Nurse Anesthetist
- Burnsville, MN
- NPI 1649265737
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
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.