MARISA KEIDEL NP
NPI 1609741693
Nurse Practitioner - Gerontology in Coon Rapids, MN

Active since October 08, 2025PECOS EnrolledAccepts Medicare Assignment
4040 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433(763) 427-9980 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marisa Keidel Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA KEIDEL NP (NPI 1609741693) is an individual gerontology provider in Coon Rapids, Minnesota, licensed in Minnesota (13022) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609741693
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARISA KEIDELCredential: NP
Location Address4040 COON RAPIDS BLVD NW STE 120Coon Rapids, MN 55433-4568
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 8, 2025
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
NPI 1609741693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MN · 13022
4040 COON RAPIDS BLVD NW STE 120, Coon Rapids, MN 55433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marisa Keidel Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890285647
PECOS Enrollment IDI20251110000648
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Physician Assistant
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Internal Medicine (Clinical Cardiac Electrophysiology)
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Nurse Practitioner
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Physician Assistant
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Nurse Practitioner
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW STE 120
MINNEAPOLIS, MN 55433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Keidel's NPI number?

The NPI number for Marisa Keidel is 1609741693. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Marisa Keidel located?

Marisa Keidel practices at 4040 Coon Rapids Blvd NW Ste 120, Coon Rapids, MN 55433. The listed phone number is (763) 427-9980.

What is Marisa Keidel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Marisa Keidel enrolled in Medicare?

Yes. Marisa Keidel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marisa Keidel affiliated with any hospitals?

According to CMS data, Marisa Keidel is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Marisa Keidel was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.