Individual provider Active NPI

Morgan Frisell, PA-C

  • Physician Assistant
  • Waconia, MN
National Provider Identifier
1194580696
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14792 Issued in MN
Practice address
560 S Maple St Ste 200
Waconia, MN 55387-1757
Phone
(952) 442-2163
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14792 MN Primary

Addresses

Primary practice location

560 S Maple St Ste 200
Waconia, MN 55387-1757

Mailing address

6861 Meadowbrook Blvd Apt 327
St Louis Park, MN 55426-4637

Other practice location 1

601 W Chandler St
Arlington, MN 55307-2127
Phone (952) 442-2163

Other practice location 2

111 Hundertmark Rd Ste 240
Chaska, MN 55318-1198
Phone (952) 456-7400

Other names 1

  • Morgan Malley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320000567 MN Practitioner - Physician Assistant 8820435332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Suite 240
Chaska, MN 55318-1198
Phone (952) 456-7400

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

820 Village Way
Waconia, MN 55387-4612

965 Prairie Ctr Dr
Eden Prairie, MN 55344-3671

Hospital & facility affiliations

  • Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Apr 16, 2024 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Apr 16, 2024 Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

111 Hundertmark Rd
Ste 240
Chaska, MN 55318
Phone (952) 456-7400

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

3500 American Blvd W
Ste 300
Minneapolis, MN 55431
Phone (952) 512-5600

560 S Maple St
Ste 200
Waconia, MN 55387
Phone (952) 856-4033

820 Village Way
#200
Waconia, MN 55387

Organizations & group practices 3

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 2

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1194580696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 MEADOWBROOK BLVD APT 327",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S MAPLE ST STE 200",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871757",
            "telephone_number": "952-442-2163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Chandler St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "MN",
            "postal_code": "553072127",
            "country_code": "US",
            "telephone_number": "952-442-2163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Hundertmark Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553181198",
            "country_code": "US",
            "telephone_number": "952-456-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRISELL",
        "first_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "MALLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.