Individual provider Active NPI

Marcia Weimerskirch, M.D.

  • Family Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1467439240
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32788 Issued in MN
Practice address
1000 Nicollet Mall TPS #260
Minneapolis, MN 55403
Phone
(952) 977-0700
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32788 MN Primary

Addresses

Primary practice location

1000 Nicollet Mall TPS #260
Minneapolis, MN 55403

Mailing address

8170 33Rd Ave S
Bloomington, MN 55425-4516

Other practice location 1

7000 Target Pkwy N
Brooklyn Park, MN 55445-4301
Phone (763) 405-0115

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000641 MN Practitioner - Family Practice 6901941426 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Methodist Hospital CurrentSince Jan 1, 2000 Accepting new patients
Park Nicollet Clinic Family Medicine Current Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Jan 1, 2000 Accepting new patients

Locations

7000 Target Pkwy N
Brooklyn Park, MN 55445
Phone (763) 442-3363

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

1000 Nicollet Mall
#260
Minneapolis, MN 55403
Phone (952) 977-0700

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

17821 Highway 7
Minnetonka, MN 55345
Phone (952) 993-2900

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1467439240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NICOLLET MALL TPS #260",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55403",
            "telephone_number": "952-977-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Target Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554454301",
            "country_code": "US",
            "telephone_number": "763-405-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIMERSKIRCH",
        "first_name": "MARCIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "32788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.