Active NPI
Marissa C Hall, PA-C
- Physician Assistant
- Stillwater, MN
National Provider Identifier
1760154728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13847
- Practice address
- 270 Main St N Ste 300
Stillwater, MN 55082-6788 - Phone
- (651) 342-1039
- Fax
- (651) 342-1428
- NPI assigned
- Sep 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13847 | MN | Primary |
Addresses
Primary practice location
270 Main St N Ste 300
Stillwater, MN 55082-6788
Mailing address
270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone (651) 342-1039
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
270 Main St N
Suite 300
Stillwater, MN 55082-6788
Phone (651) 342-1039
Hospital & facility affiliations
- Interim Healthcare of the Twin Cities
- Adara Home Health Inc
- Grace Hospice
- Park Nicollet Methodist Hospital
- Brighton Hospice
- Park Nicollet Methodist Hospital
- M Health Fairview University of MN Medical Center
- Abbott Northwestern Hospital
- M Health Fairview Ridges Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13847 | MN | MD | Women's Health Nurse Practitioner |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1578595971
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Buffalo, MN
- NPI 1063420198
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1760154728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 MAIN ST N STE 300",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826788",
"telephone_number": "651-342-1039",
"fax_number": "651-342-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 MAIN ST N STE 300",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826788",
"telephone_number": "651-342-1039",
"fax_number": "651-342-1428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MARISSA",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.