NPIMap

Individual provider Active NPI

Marisa Ann Albertson, MD

  • Family Medicine Physician
  • Minot, ND
National Provider Identifier
1710117312
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12516 Issued in ND
Practice address
400 Burdick Expy E
Minot, ND 58701
Phone
(701) 857-7383
Fax
(701) 857-7013
NPI assigned
Jul 17, 2009
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LT12516 ND
Family Medicine Physician 207Q00000X 12516 ND Primary

Addresses

Primary practice location

400 Burdick Expy E
Minot, ND 58701

Mailing address

PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-7817

Other names 1

  • Marisa Ann Upton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121113000762 ND Practitioner - Family Practice 4486805736 Reassigns benefits to 4 organizations
I20220512000165 MN Practitioner - Internal Medicine 4486805736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians
Riverview Healthcare AssociationGroup PAC ID 7810806718, shared by 6 NPIs, 46 clinicians

Practice addresses (Care Compare)

2111 Landmark Cir NW
Minot, ND 58703-1967
Phone (701) 858-1800

323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9200

709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12516NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Apr 19, 2023 Accepting new patients
St. Alexius Medical Center CurrentSince Apr 19, 2023 Accepting new patients
Riverview Healthcare Association CurrentSince Jan 1, 2026 Accepting new patients
McKenzie County Healthcare Systems Inc Family Medicine CurrentSince Feb 18, 2026 Accepting new patients
Carrington Health Center Family Medicine Current Accepting new patients
Carrington Health Center CurrentSince Dec 1, 2021 Accepting new patients
Riverview Healthcare Association CurrentSince Jan 1, 2026 Accepting new patients
Chess Medicine PLLC CurrentSince May 27, 2023 Accepting new patients
Carrington Health Center Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Riverview Healthcare Association CurrentSince Jan 1, 2026 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Community Memorial Hospital Family Medicine Past Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

6165 NW 86th St
Johnston, IA 50131
Phone (515) 468-2996

7776 Solutions Ctr
Chicago, IL 60677

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

800 4th St N
Carrington, ND 58421
Phone (701) 652-3141

820 5th St N
Carrington, ND 58421
Phone (701) 399-0123

2111 Landmark Cir NW
Minot, ND 58703
Phone (701) 858-1800

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1710117312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025010",
            "telephone_number": "701-857-7817",
            "fax_number": "701-857-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BURDICK EXPY E",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701",
            "telephone_number": "701-857-7383",
            "fax_number": "701-857-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTSON",
        "first_name": "MARISA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "LT12516",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "12516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "UPTON",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.