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DR. MARISSA ANNE HENDRICKSON M.D.
NPI 1770797151
Pediatrics - Pediatric Emergency Medicine in Minneapolis, MN

Active since May 09, 2007PECOS Enrolled
401 E RIVER PKWY, PEDIATRIC EMERGENCY MEDICINE, 76 VCRC, MINNEAPOLIS, MN 55455(612) 625-6678(612) 626-1144 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marissa Anne Hendrickson M.d. NPPES

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

DR. MARISSA ANNE HENDRICKSON M.D. (NPI 1770797151) is an individual pediatric emergency medicine provider in Minneapolis, Minnesota, licensed in Minnesota (50851) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770797151
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. MARISSA ANNE HENDRICKSONCredential: M.D.
Location Address401 E RIVER PKWY, PEDIATRIC EMERGENCY MEDICINE, 76 VCRCMinneapolis, MN 55455-0368
Mailing Address401 E River Pkwy, Pediatric Emergency Medicine, 76 VcrcMinneapolis, MN 55455-0368 · (612) 625-6678 · Fax (612) 626-1144
Phone(612) 625-6678
Fax(612) 626-1144
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 13, 2008
✔ NPI 1770797151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MN · 50851
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
401 E RIVER PKWY, Minneapolis, MN 55455
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marissa Anne Hendrickson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Marissa Hendrickson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Minnesota Physicians
0.3 mi
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
NPI 1477598118 (612) 672-7422
Fairview Express Care
0.4 mi
Sleep Disorder Diagnostic
606 24TH AVE S
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1194143024 (612) 273-3332
Fairview Health Services
0.4 mi
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000
University Of Minnesota Health Clinics And Surgery Center Inc
0.4 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

XIAO LI MD
Internal Medicine (Hematology & Oncology)
401 E RIVER PKWY
MINNEAPOLIS, MN 55455
Hennepin County (621) 626-0400
DAVID THOMAS MD
Student in an Organized Health Care Education/Training Program
401 E RIVER PKWY
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-8383
DR. KAELAN HUNTER BYRD MD, MCR
Internal Medicine
401 E RIVER PKWY
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5454
DR. DAVID ANTHONY WACKER M.D., PH.D.
Internal Medicine (Critical Care Medicine)
401 E RIVER PKWY, SUITE 350, VCRC
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-0999

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 Marissa Hendrickson's NPI number?

The NPI number for Marissa Hendrickson is 1770797151. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Marissa Hendrickson located?

Marissa Hendrickson practices at 401 E River Pkwy Pediatric Emergency Medicine, 76 Vcrc, Minneapolis, MN 55455. The listed phone number is (612) 625-6678.

What is Marissa Hendrickson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Marissa Hendrickson enrolled in Medicare?

Yes. Marissa Hendrickson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marissa Hendrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Hendrickson reassigns Medicare benefits to 4 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Hendrickson accept?

Health plans from Sanford Health Plan list Marissa Hendrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Hendrickson was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.