Americo D Fraboni, MD
Individual provider Active NPI Family Medicine Physician · Princeton, MN
NPI 1023060795 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1023060795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 36232 (MN)
- Practice address
- 919 Northland Dr
Princeton, MN 55371-2172 - Phone
- (763) 389-3344
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Croix Regional Medical Center
Practice addresses (Care Compare)
12375 Lindstrom LN
Lindstrom, MN 55045-9551
Phone (651) 400-2240
1504 190TH Ave
Balsam Lake, WI 54810-7102
Phone (715) 825-3278
235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221
235 State St
St Croix Falls, WI 54024-4117
Hospital & facility affiliations
- St Croix Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041214000162 | MN | Practitioner - Family Practice | 4789641580 | Reassigns benefits to 3 organizations |
| I20240903002889 | WI | Practitioner - Family Practice |
4789641580 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36232 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| St. Croix Regional Medical Center | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients |
Locations
13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
290 Main St NW
Ste 100
Elk River, MN 55330
Phone (763) 241-0373
400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294
919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1504 190th Ave
Balsam Lake, WI 54810
Phone (715) 825-3278
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
Interoperability endpoints
- afraboni649767@excellian.direct.allina.com
- afraboni3706@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36232 | MN | Yes |
Addresses
Primary practice location
919 Northland Dr
Princeton, MN 55371-2172
Mailing address
919 Northland Dr
Princeton, MN 55371-2172
Other providers in Princeton, MN
- Mark Thomas Fischer
- Robin K Fischer
- Kristi L Flanigan
- Flexed Mettle MN, LLC
- Daniel D Fordahl
- Susan Marie Fraboni
- Rita Franzoi
- Fresenius Medical Care Centracare Dialysis, LLC
- James Michael Gibbs
- Michael Robert Gibbs
All providers in Princeton, MN · Family Medicine 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 May 19, 2008. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.