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

Dr. Marisa Lynn Pender, DNP, FNP-C

Individual provider Home Health Registered Nurse · NPI 1710454517

Dr. Marisa Lynn Pender, DNP, FNP-C is a Nurse Practitioner in Eden Prairie, Minnesota. Qualified in 2023, 3 years ago. Practices with New Kingdom Pediatrics LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

6452 City West Pkwy
Eden Prairie, MN 55344-3245
Phone: (952) 999-0333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10596 (MN)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 2466813 (MN)

Record details

NPI number1710454517
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-C
Sole proprietorNo
NPI enumeratedOctober 30, 2018
Last updated in NPPESAugust 11, 2023
Certification dateJuly 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice New Kingdom Pediatrics Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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