Fairview Health Services
Organization Active NPI Hospitalist Physician · Princeton, MN
NPI 1013097377 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1013097377
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- FAIRVIEW HEALTH SERVICES
- Practice address
- 911 Northland Dr
Princeton, MN 55371-2172 - Phone
- (763) 389-1313
- Fax
- (763) 389-6306
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Maureen V Ring
- Title
- Sys Dir Govt Reimb & Netwk Rel
- Phone
- (612) 672-6740
Corporate family (same tax ID) 19
Practitioners 219
-
Abdisalan Ali Afrah, M.D
-
Ashfaq Ahmad, MD
-
Kathryn Ann Aune, M.D.
-
Lauren A Ayuso, PA-C
-
Deepak Bhai Bairagi, M.D.
-
Matej Bajzer, MD, PHD
-
Michael H Bambenek, M.D.
-
Sarah Lea Bartlett, RN, CNP
-
Abass Ahmed Basha, PA-C
-
Cecil Emerson Bassett, M.D.
-
Nicholas Aaron Becker, PA-C
-
Allison Ann Bell Potter, PA-C
-
Julie Ann Bohlman, PA-C
-
Rebecca Hagen Budge, PA-C
-
David G Bue, MD
-
Pamela L Burgess, M.D.
-
Biljana Capra, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000461 | MN | Part B Supplier - Clinic/Group Practice | 1951213057 |
Receives reassigned benefits from 4,101 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Fairview Express Care
Locations
14500 99th Ave N
Ste 210
Maple Grove, MN 55369
Phone (763) 898-1770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Hospitalist Physician |
208M00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
911 Northland Dr
Princeton, MN 55371-2172
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032494 | Other | MN | PREFERREDONE |
| 73772 | Other | MN | HEALTHPARTNERS |
| 97138 | Other | MN | HEALTHPARTNERS |
| 24560FA | Other | MN | BCBS |
| 8866 | Other | MN | HEALTHPARTNERS |
| 342177500 | Medicaid | MN | |
| FP901 | Other | MN | PREFERREDONE |
| 285649200 | Medicaid | MN | |
| 405876300 | Medicaid | MN | |
| 110397 | Other | MN | UCARE |
| 59983FA | Other | MN | BCBS |
| 710047701 | Medicaid | MN | |
| 110399 | Other | MN | UCARE |
| 145511700 | Medicaid | MN | |
| 4D394RU | Other | MN | BCBS |
| 86227 | Other | MN | HEALTHPARTNERS |
Other names
- M HEALTH FAIRVIEW NORTHLAND MEDICAL CENTER
Other providers in Princeton, MN
- Hunter Edward Enkhaus
- Fairview Clinics
- Fairview Express Care
- Fairview Express Care
- Fairview Express Care
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Northland
All providers in Princeton, MN · Hospitalist Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.