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

Mrs. Carrie J Marzolf, PA

Individual provider Physician Assistant · NPI 1467643072

Mrs. Carrie J Marzolf, PA is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2007, 19 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group and accepts Medicare assignment. Licensed in Maine, Minnesota and New Hampshire.

Years since qualifying
19
Licensed in
ME, MN, NH
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-0063
Fax: (651) 254-5535
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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 13507 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 0902 (NH)
Physician Assistant Taxonomy 363A00000X · Licence PA001104 (ME)

Record details

NPI number1467643072
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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