Individual provider Active NPI

Mary-Ann Myrthil, PA-C

  • Medical Physician Assistant
  • Eagan, MN
National Provider Identifier
1366724239
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
015125 Issued in NY
Practice address
PO Box 211699
Eagan, MN 55121-3699
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0009767 CO
Medical Physician Assistant 363AM0700X 50.010235RX OH
Medical Physician Assistant 363AM0700X 14187 GA
Medical Physician Assistant 363AM0700X 015125 NY Primary
Medical Physician Assistant 363AM0700X PA9112917 FL
Medical Physician Assistant 363AM0700X 6479 SC
Medical Physician Assistant 363AM0700X 0010-16436 NC
Medical Physician Assistant 363AM0700X PA20565 TX
Medical Physician Assistant 363AM0700X 3436 NE
Medical Physician Assistant 363AM0700X PA.2919 AL

Addresses

Primary practice location

PO Box 211699
Eagan, MN 55121-3699

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

969 Carstairs Ct
Tarpon Springs, FL 34688-7607
Phone (347) 733-9787

Other practice location 2

2077 E 28th St
Brooklyn, NY 11229-5055
Phone (347) 733-9787

Other practice location 3

7800 Liberty Ln
Seminole, FL 33772-4743
Phone (347) 733-9787

Other names 1

  • Mrs. Mary-Ann Limontas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200813000650 FL Practitioner - Physician Assistant 0840616439 Reassigns benefits to 2 organizations
I20250425000849 NY Practitioner - Physician Assistant 0840616439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rina Health Medical Practice PCGroup PAC ID 3072922939, 6 clinicians

Practice addresses (Care Compare)

110 Henderson Ave
Staten Island, NY 10301-2108
Phone (718) 689-6006

23 Robert Pitt Dr
Suite 102a
Monsey, NY 10952-3470
Phone (718) 689-6006

274 W Broadway
Long Beach, NY 11561-3911
Phone (718) 689-6006

816 Myrtle Ave
Suite 101
Brooklyn, NY 11206-5558
Phone (718) 689-6006

820 Front St
Hempstead, NY 11550-4627
Phone (718) 689-6006

Merit-based Incentive Payment System (MIPS)

Final score
96.82 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0009767COMDMedical Physician Assistant
0010-16436NCMDMedical Physician Assistant
50.010235RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical of New York PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1366724239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Carstairs Ct",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346887607",
            "country_code": "US",
            "telephone_number": "347-733-9787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2077 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112295055",
            "country_code": "US",
            "telephone_number": "347-733-9787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7800 Liberty Ln",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337724743",
            "country_code": "US",
            "telephone_number": "347-733-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYRTHIL",
        "first_name": "MARY-ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0009767",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.010235RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "14187",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015125",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112917",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "6479",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-16436",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA20565",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "3436",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA.2919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY-ANN",
            "last_name": "LIMONTAS",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.