Individual provider Active NPI

Collin Markham Cousins, MD

  • Emergency Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1003310020
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
73065 Issued in MN
Practice address
800 E 28TH St # Mr 11112
Minneapolis, MN 55407-3723
Phone
(612) 863-4233
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 165024 CA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 73065 MN Primary

Addresses

Primary practice location

800 E 28TH St # Mr 11112
Minneapolis, MN 55407-3723

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Health Services 677 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-7838

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Merit-based Incentive Payment System (MIPS)

Final score
96.44 of 100Reported as group
Quality
82.65
Promoting interoperability
100
Improvement activities
40
Cost
77.21

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.56
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117000063 MN Practitioner - Emergency Medicine 7911300926 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
165024CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ely-Bloomenson Community Hospital CurrentSince May 1, 2023 Accepting new patients
Fairview Health Services Emergency Medicine CurrentSince Feb 18, 2024 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince May 1, 2025 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince May 1, 2025 Accepting new patients
Pacifica Emergency Medical Associates Emergency Medicine CurrentSince Apr 27, 2022 Accepting new patients
Emergency Care Consultants, PA Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services CurrentSince Feb 18, 2024 Accepting new patients
Ecc Addiction & Toxicology Services LLC CurrentSince Jun 4, 2023 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Feb 18, 2024 Accepting new patients
Fairview Express Care CurrentSince Feb 18, 2024 Accepting new patients
Ely-Bloomenson Community Hospital CurrentSince May 1, 2023 Accepting new patients

Locations

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

29980 Network Pl
Chicago, IL 60673

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

328 W Conan St
Ely, MN 55731
Phone (218) 365-3271

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

800 E 28th St
#11112
Minneapolis, MN 55407
Phone (612) 863-4233

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2829 University Ave SE
Ste 730
Minneapolis, MN 55414
Phone (612) 439-1868

2855 Campus Dr
Plymouth, MN 55441
Phone (763) 577-7000

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Interoperability endpoints

  • Direct secure messaging: ccousins324801@fairview.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1003310020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY AVE SE STE 730",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST # MR 11112",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-863-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "COLLIN",
        "middle_name": "MARKHAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "165024",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "73065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.