Individual provider Active NPI

Christina Rachel Marsh, PA

  • Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1821706920
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14289 Issued in MN
Practice address
7831 Glenroy Rd Ste 145
Minneapolis, MN 55439-3115
Phone
(651) 447-3755
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 14289 MN Primary

Addresses

Primary practice location

7831 Glenroy Rd Ste 145
Minneapolis, MN 55439-3115

Mailing address

408 Magnolia LN N
Plymouth, MN 55441-5716

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120002583 MN Practitioner - Physician Assistant 1759752108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sasaki Medical LLCGroup PAC ID 3779879903, 21 clinicians

Practice addresses (Care Compare)

1919 University Ave W
Suite 100
Saint Paul, MN 55104-3479
Phone (651) 447-3755

777 Raymond Ave
Saint Paul, MN 55114-1522
Phone (651) 447-3755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sasaki Medical LLC CurrentSince Oct 1, 2022 Accepting new patients
Sasaki Medical LLC Past Accepting new patients

Locations

7831 Glenroy Rd
Ste 145
Minneapolis, MN 55439

777 Raymond Ave
Saint Paul, MN 55114
Phone (651) 447-3455

2550 University Ave W
Ste 130N
Saint Paul, MN 55114

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1821706920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MAGNOLIA LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 GLENROY RD STE 145",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393115",
            "telephone_number": "651-447-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "CHRISTINA",
        "middle_name": "RACHEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.