Marisa Bartley, DO

Key facts

NPI

1104480359

Entity type

Individual (NPI type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician 207QS0010X

License

74330 (MN)

Practice address

2450 Riverside Ave Ste R200
Minneapolis, MN 55454-1450

Phone

(612) 672-7100

NPI assigned

Apr 23, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 20

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.

• Fairview Express Care Multi-Specialty Clinic/Center · Minneapolis, MN · NPI 1053952606
  Medicare reassignment Care Compare group NPD MN
• Healtheast Medical Research Institute Clinic/Center · Vadnais Heights, MN · NPI 1639125503
  Medicare reassignment Care Compare group NPD MN
• University of Minnesota Health Clinics and Surgery Center, Inc. Clinic/Center · Minneapolis, MN · NPI 1053795187
  Medicare reassignment NPD MN
• University of Minnesota Physicians Multi-Specialty Clinic/Center · Minneapolis, MN · NPI 1477598118
  Medicare reassignment NPD MN
• Fairview Express Care General Practice Physician · Edina, MN · NPI 1831707207
  Care Compare group NPD
• Healtheast Medical Research Institute Internal Medicine Physician · Saint Paul, MN · NPI 1508191552
  Care Compare group NPD
• Fairview Express Care Cardiovascular Disease Physician · Minneapolis, MN · NPI 1629224258
  Care Compare group
• Fairview Express Care Eyewear Supplier · Eagan, MN · NPI 1750833562
  Care Compare group
• Fairview Express Care Eyewear Supplier · Brooklyn Park, MN · NPI 1841472644
  Care Compare group
• Fairview Express Care Eyewear Supplier · Andover, MN · NPI 1861674665
  Care Compare group
• Fairview Express Care Eyewear Supplier · Fridley, MN · NPI 1942482740
  Care Compare group
• Fairview Express Care Clinic/Center · Hudson, WI · NPI 1467159210
  Care Compare group
• Fairview Specialty Services Point of Service · Saint Paul, MN · NPI 1912066218
  NPD
• Healtheast Medical Research Institute Multi-Specialty Clinic/Center · Maplewood, MN · NPI 1003577420
  NPD
• University of Minnesota Health Clinics and Surgery Center Inc Anesthesiology Physician · Minneapolis, MN · NPI 1003485004
  NPD
• University of Minnesota Physicians Adult Mental Health Clinic/Center · St Louis Park, MN · NPI 1144368531
  NPD
• University of Minnesota Physicians Dental Clinic/Center · Minneapolis, MN · NPI 1952546061
  NPD
• Fairview Health Services General Acute Care Hospital · Minneapolis, MN · NPI 1013994359
  NPD (past)
• Healtheast Medical Research Institute Clinic/Center · Oakdale, MN · NPI 1073569935
  NPD (past)
• Upmc Community Medicine Inc Internal Medicine Physician · Pittsburgh, PA · NPI 1588622294
  NPD (past)

Hospital & facility affiliations 4

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

• Fairview Health Services General Acute Care Hospital · Burnsville, MN · NPI 1225199128
  Care Compare affiliation Hospital
• Fairview Health Services General Acute Care Hospital · Burnsville, MN · NPI 1245217520
  Care Compare affiliation Hospital
• Healtheast St. John'S Hospital General Acute Care Hospital · Maplewood, MN · NPI 1447218482
  Care Compare affiliation Hospital
• Healtheast Woodwinds Hospital General Acute Care Hospital · Woodbury, MN · NPI 1356309322
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Sports Medicine

Education

College of Osteo Med of the Pacific at Pomona, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview Express Care (1,946 clinicians)
Healtheast Medical Research Institute (665 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• M Health Fairview Woodwinds Hospital Hospital · Woodbury, MN · CCN 240213
• M Health Fairview St John'S Hospital Hospital · Maplewood, MN · CCN 240210
• M Health Fairview Ridges Hospital Hospital · Burnsville, MN · CCN 240207

Merit-based Incentive Payment System (MIPS)

Final score

88.63 of 100 (group)

Quality

75.41

Promoting interoperability

100

Improvement activities

40

Cost

75.75

Merit-based Incentive Payment System (MIPS)

Final score

92.68 of 100 (group)

Quality

89.73

Promoting interoperability

100

Improvement activities

40

Cost

80.99

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbartley811333@fairview.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2024.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1104480359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE STE R200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE STE R200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-672-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "MARISA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MN",
            "license": "74330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Minneapolis, MN · Sports Medicine (Family Medicine) Physician in Minnesota