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

Nikki L Marcellino, PA

Individual provider Physician Assistant · NPI 1295196285

Nikki L Marcellino, PA is a Physician Assistant in Brooklyn Center, Minnesota. Qualified in 2015, 11 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2016
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

6000 Earle Brown Dr
Brooklyn Center, MN 55430-2506
Phone: (952) 993-4900
Fax: (952) 993-4827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8450 Seasons Pkwy, Woodbury, MN 55125-4402 — (651) 702-5300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12035 (MN)

Record details

NPI number1295196285
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 17, 2016
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Brooklyn Center