DR. MARISSA ANNE HENDRICKSON M.D. NPI 1770797151

NPI Information

  • NPI: 1770797151
  • Provider Name: DR. MARISSA ANNE HENDRICKSON, M.D.
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 401 E RIVER PKWY
    PEDIATRIC EMERGENCY MEDICINE, 76 VCRC
    MINNEAPOLIS, MN
    ZIP 55455
  • Phone: (612) 625-6678

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NPI Details

DR. Marissa Anne Hendrickson, M.D. is a pediatric emergency medicine pediatrics in Minneapolis, MN. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Marissa Anne Hendrickson, M.D. NPI is 1770797151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 E RIVER PKWY
PEDIATRIC EMERGENCY MEDICINE, 76 VCRC
MINNEAPOLIS, MN
ZIP 55455-368
Phone: (612) 625-6678
Fax: (612) 626-1144

The NPI 1770797151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0204XPediatricsPediatric Emergency Medicine50851MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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