Marnie Davis, PA-C
Individual provider Active NPI Physician Assistant · Park Rapids, MN
NPI 1962738872 · NPPES record last updated Nov 18, 2014
Key facts
- NPI
- 1962738872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10824 (MN)
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- Fax
- (218) 732-2874
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairview Express Care
University of Minnesota Health Clinics and Surgery Center Inc
Practice addresses (Care Compare)
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 885-6150
6545 France Ave S
Suite 150
Edina, MN 55435-2180
Phone (952) 848-5600
6545 France Ave S
Suite 450
Edina, MN 55435-2122
Phone (952) 924-1520
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
- M Health Fairview Ridges Hospital
- Fairview Lakes Health Services
- Fairview Northland Regional Hospital
- M Health Fairview St John'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129001020 | MN | Practitioner - Physician Assistant | 0244370815 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2914 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current |
Accepting new patients | |
| University of Minnesota Physicians | Current |
Accepting new patients | |
| University of Minnesota Physicians | Current |
Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current |
Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
6545 France Ave S
Ste 450
Edina, MN 55435
Phone (612) 626-6688
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
909 Fulton St SE
Ste 202
Minneapolis, MN 55455
Phone (612) 273-8383
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
Interoperability endpoints
- mdavis504139@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2914 | CO | |
| Physician Assistant | 363A00000X | 10824 | MN | Yes |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Phone (701) 364-8000
Other providers in Park Rapids, MN
- Dakota Clinic, LTD
- Dakota Clinic, LTD.
- Danielle Lee Darchuk
- Robert James Daun
- David E Andersen DDS PA
- Robb Dent
- Mindy C Dewinter
- Ranae Doll
- Donald G Douglas
- Enlightenment Psychiatry LLC
All providers in Park Rapids, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.