NPIMap

Individual provider Active NPI

Marland Dale Gilbert, D.C, MSPAS, PA-C

  • Surgical Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1487676607
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10539 Issued in MN
Practice address
255 Smith Ave N Ste 100
Saint Paul, MN 55102-2518
Phone
(651) 241-7246
NPI assigned
Jul 24, 2006
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10539 MN
Surgical Physician Assistant 363AS0400X 10539 MN Primary
Rehabilitation Chiropractor 111NR0400X 5235 MN

Addresses

Primary practice location

255 Smith Ave N Ste 100
Saint Paul, MN 55102-2518

Mailing address

2104 Northdale Blvd NW Ste 220
Minneapolis, MN 55433-3046
Phone (763) 537-6000

Other practice location 1

9550 Upland Ln N Ste 100
Maple Grove, MN 55369-4482
Phone (763) 537-6000

Other practice location 2

675 E Nicollet Blvd Ste 245
Burnsville, MN 55337-6782
Phone (763) 537-6000

Other practice location 3

3000 Hundertmark Rd Ste 250
Chaska, MN 55318-2729
Phone (763) 537-6000

Other practice location 4

7400 France Ave S Ste 100
Edina, MN 55435-4738
Phone (763) 537-6000

Other practice location 5

2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Phone (763) 537-6000

Other identifiers 2

IdentifierTypeStateIssuer
10539OtherMNPHYSICIAN ASSISTANT LICENCE
5235OtherMNCHIROPRACTIC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgilbert153007@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000452 MN Practitioner - Physician Assistant 4981661980 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

280 Smith Ave N
Suite 600
Saint Paul, MN 55102-2446
Phone (651) 241-7246

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

3366 Oakdale Ave N
Suite 200
Robbinsdale, MN 55422-2962
Phone (763) 520-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5235MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Area Health Center, PLLC CurrentSince Aug 1, 2017 Accepting new patients
North Memorial Health Care CurrentSince Apr 1, 2023 Accepting new patients
Allina Health System CurrentSince May 1, 2018 Accepting new patients
North Memorial Health Care CurrentSince Apr 1, 2023 Accepting new patients
Allina Health System CurrentSince May 1, 2018 Accepting new patients
Arrowhead Clinic, Inc. Past Accepting new patients
Athens Chiropractic & Therapy Rehabilitation Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

1440 Duckwood Dr
Ste 200
Saint Paul, MN 55122
Phone (651) 203-4673

255 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5000

360 Sherman St
Ste 300
Saint Paul, MN 55102
Phone (651) 203-5130

360 Sherman St
Ste 400
Saint Paul, MN 55102
Phone (651) 999-6900

Interoperability endpoints

  • Direct secure messaging: marland.gilbertpa.p1@direct.midwestspinebrain.nextgenshare.com
  • Direct secure messaging: mgilbert153007@excellian.direct.allina.com
  • Direct secure messaging: mgilbert192016@direct.northmemorial.com

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1487676607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 220",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554333046",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SMITH AVE N STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022518",
            "telephone_number": "651-241-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9550 Upland Ln N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694482",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 E Nicollet Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553376782",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Hundertmark Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553182729",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 France Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354738",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2104 Northdale Blvd NW Ste 220",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554333046",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MARLAND",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C, MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "10539",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "10539",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "5235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENCE",
            "identifier": "10539",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "5235",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgilbert153007@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "255 Smith Ave N Ste 100",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.