Active NPI
Marissa Jo Qunell, CRNA
- Certified Registered Nurse Anesthetist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 086620
- Practice address
- 333 Smith Ave N
Saint Paul, MN 55102-2344 - Phone
- (651) 735-0501
- Fax
- (651) 735-1870
- NPI assigned
- Dec 20, 2010
- Last updated
- Mar 11, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 086620 | MN | Primary |
| Registered Nurse | 163W00000X | R 177006-7 | MN |
Addresses
Primary practice location
333 Smith Ave N
Saint Paul, MN 55102-2344
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-5000
Other names 1
- Marissa Jo Herbon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 Catlin St
Buffalo, MN 55313-1947
Phone (763) 682-1212
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 177006-7 | MN | MD | Registered Nurse |
| 086620 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Park Nicollet Methodist Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Cloud Outpatient Surgery LTD | Current | Accepting new patients | |
| Mrs Sandman LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Park Nicollet Methodist Hospital | Current | Accepting new patients | |
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients |
Locations
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000
2020 E 28th St
Ste 100
Minneapolis, MN 55407
Phone (612) 455-0612
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
9117 Lyndale Ave S
Minneapolis, MN 55420
Phone (952) 835-1235
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
1526 Northway Dr
Saint Cloud, MN 56303
Phone (320) 251-8385
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
400 10th St E
Waconia, MN 55387
2080 Woodwinds Dr
Ste 200
Woodbury, MN 55125
Phone (651) 642-1106
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Park Nicollet Methodist Hospital CRNAs
- Certified Registered Nurse Anesthetist
- St Louis Park, MN
- NPI 1083622047
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Robbinsdale, MN
- NPI 1013960798
Nurse Anesthetist, Certified Registered
-
dba Certified Anesthesia Care, Inc
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Saint Cloud, MN
- NPI 1124084843
-
- Certified Registered Nurse Anesthetist
- Saint Cloud, MN
- NPI 1265912943
Nurse Anesthetist, Certified Registered
-
dba Buffalo Hospital CRNA
- Certified Registered Nurse Anesthetist
- Buffalo, MN
- NPI 1649211756
Nurse Anesthetist, Certified Registered
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba Park Nicollet Same Day Surgery Center
- Ambulatory Surgical Clinic/Center
- Burnsville, MN
- NPI 1649827973
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": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1083917637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SMITH AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022344",
"telephone_number": "651-735-0501",
"fax_number": "651-735-1870"
}
],
"practiceLocations": [
{
"address_1": "6500 Excelsior Blvd",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554264702",
"country_code": "US",
"telephone_number": "952-993-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUNELL",
"first_name": "MARISSA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "086620",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 177006-7",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "HERBON",
"middle_name": "JO",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.