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

Marisa Bartley, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1104480359

Marisa Bartley, DO is a Sports Medicine in Minneapolis, Minnesota. Graduated from College of Osteo Med of the Pacific at Pomona in 2019, 7 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
MN
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2450 Riverside Ave Ste R200
Minneapolis, MN 55454-1450
Phone: (612) 672-7100
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 74330 (MN)

Record details

NPI number1104480359
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address2450 Riverside Ave Ste R200, Minneapolis, MN 55454-1450

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 2019 (7 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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