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

Marissa Kinsman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093417537

Marissa Kinsman is a Physician Assistant in LA Crosse, Wisconsin. Qualified in 2024, 2 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • N2992 State Road 16, La Crosse, WI 54601-3015 — (760) 315-0772

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7925-23 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093417537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in LA Crosse