Active NPI
Marissa Anne O'Keeffe, MD
- Nephrology Physician
- Brooklyn Center, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 75552
- Practice address
- 6200 Shingle Creek Pkwy Ste 250
Brooklyn Center, MN 55430-2107 - Phone
- (763) 544-0696
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 75552 | MN | Primary |
Addresses
Primary practice location
6200 Shingle Creek Pkwy Ste 250
Brooklyn Center, MN 55430-2107
Mailing address
12700 E 19TH Ave
Aurora, CO 80045-2560
Phone (303) 724-4852
Other practice location 1
13001 E 17th Pl
Aurora, CO 80045-2570
Phone (303) 724-1792
Other names 1
- Dr. Marissa Anne Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2085 Rice St
Roseville, MN 55113-6807
Phone (651) 489-9035
2651 Hillcrest Dr
Suite 302
Hudson, WI 54016-9919
Phone (651) 489-9035
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897
800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4762
Hospital & facility affiliations
- FMC - West St Paul Dialysis
- DaVita Highland Park Dialysis
- Allina United Hospital
- M Health Fairview St John'S Hospital
- Abbott Northwestern Hospital
- Mercy Hospital
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75552 | MN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Kidney Specialists of Minnesota, PA | Nephrology | Current | Accepting new patients |
| North Memorial Health Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
6200 Shingle Creek Pkwy
Ste 260
Minneapolis, MN 55430
Phone (763) 544-0696
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
6200 Shingle Creek Pkwy
Ste 250
Minneapolis, MN 55430
Phone (612) 823-8001
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
2085 Rice St
Saint Paul, MN 55113
Phone (651) 489-9035
2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290
Interoperability endpoints
- mokeeffe64916@direct.acumenmd.com
Organizations & group practices 8
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.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Pain Medicine Physician
- Minneapolis, MN
- NPI 1316980386
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
-
- Primary Care Clinic/Center
- Minnetonka, MN
- NPI 1952732729
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
Hospital & facility affiliations 49
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Saint Paul, MN
- NPI 1972780161
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Paul, MN
- NPI 1407045891
Dialysis facility
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1689133597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 E 19TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452560",
"telephone_number": "303-724-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SHINGLE CREEK PKWY STE 250",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302107",
"telephone_number": "763-544-0696"
}
],
"practiceLocations": [
{
"address_1": "13001 E 17th Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452570",
"country_code": "US",
"telephone_number": "303-724-1792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'KEEFFE",
"first_name": "MARISSA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MN",
"license": "75552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "MARTIN",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.