Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annali Mariucci

Individual provider Physician Assistant · NPI 1700413762

Annali Mariucci is a Physician Assistant in Golden Valley, Minnesota. Qualified in 2019, 7 years ago. Practices with Twin Cities Physicians Professional Corporation, a 66-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
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Practice location Address checks out

1415 Lilac Dr N Ste 190
Golden Valley, MN 55422-4544
Phone: (763) 267-8701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1700413762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021
Mailing address1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Twin Cities Physicians Professional Corporation — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Golden Valley