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

Individual provider Physician Assistant · NPI 1760154728

Marissa C Hall, PA-C is a Physician Assistant in Stillwater, Minnesota. Qualified in 2021, 5 years ago. Practices with Bluestone Physician Services PA, a 59-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13847 (MN)

Record details

NPI number1760154728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2021
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address270 Main St N Ste 300, Stillwater, MN 55082-6788

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bluestone Physician Services Pa — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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