Active NPI
Marisa Lea Zutter, DNP
- Family Nurse Practitioner
- Perham, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R174289-1
- Practice address
- 665 3Rd St SW
Perham, MN 56573-1137 - Phone
- (218) 371-6117
- NPI assigned
- Dec 30, 2010
- Last updated
- Dec 30, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R174289-1 | MN | Primary |
Addresses
Primary practice location
665 3Rd St SW
Perham, MN 56573-1137
Mailing address
43489 Inlet Estates TRL
Ottertail, MN 56571-9471
Phone (218) 371-6117
Other names 1
- Marisa Lea Frost
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
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Perham Hospital District
Practice addresses (Care Compare)
1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1656
1000 Coney W St
Perham, MN 56573-2102
105 Otter Dr
Ottertail, MN 56571-7040
Phone (218) 367-6111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.39 of 100
- Quality
- 91.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R174289-1 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Sanford Clinic North | Past | Accepting new patients |
Locations
105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111
1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200
Organizations & group practices 5
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.
-
- Durable Medical Equipment & Medical Supplies
- Perham, MN
- NPI 1558630012
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Perham Health
- Family Medicine Physician
- Perham, MN
- NPI 1457631814
Hospital
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1760786032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43489 INLET ESTATES TRL",
"city": "OTTERTAIL",
"state": "MN",
"postal_code": "565719471",
"telephone_number": "218-371-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 3RD ST SW",
"city": "PERHAM",
"state": "MN",
"postal_code": "565731137",
"telephone_number": "218-371-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUTTER",
"first_name": "MARISA",
"middle_name": "LEA",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-30",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R174289-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISA",
"last_name": "FROST",
"middle_name": "LEA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Perham, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.