Individual provider Active NPI

Marissa Anne O'Keeffe, MD

  • Nephrology Physician
  • Brooklyn Center, MN
National Provider Identifier
1689133597
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
75552 Issued in MN
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

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240508002286 MN Practitioner - Nephrology 3072847706 Reassigns benefits to 3 organizations
I20250626003627 WI Practitioner - Nephrology 3072847706 Reassigns benefits to 1 organization

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
Kidney Specialists of Minnesota, PAGroup PAC ID 5092616029, 33 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

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 Dialysis facility, West St Paul, MN, CCN 242577
  • DaVita Highland Park Dialysis Dialysis facility, Saint Paul, MN, CCN 242573
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75552MNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care Current Accepting new patients
Allina Health System CurrentSince Aug 8, 2024 Accepting new patients
Kidney Specialists of Minnesota, PA Nephrology CurrentSince Jun 1, 2024 Accepting new patients
North Memorial Health Care CurrentSince Jun 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Aug 8, 2024 Accepting new patients
North Memorial Health Care CurrentSince Jun 1, 2024 Accepting new patients
Ilbnc, P.a. PastSince Jun 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 49

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

View all 49

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

Verify at the official NPI Registry.