Active NPI
Pamela J. Noll, DO
- Family Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46268
- Practice address
- 3033 Excelsior Blvd.
#275
Minneapolis, MN 55416 - Phone
- (612) 827-4751
- Fax
- (612) 827-7768
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 46268 | MN | Primary |
Addresses
Primary practice location
3033 Excelsior Blvd.
#275
Minneapolis, MN 55416
Mailing address
3033 Excelsior Blvd Ste 275
Minneapolis, MN 55416-5149
Phone (612) 827-4751
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 881-2651
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
- Accentcare Fairview Home Health - West, LLC
- M Health Fairview Southdale Hospital
- M Health Fairview University of MN Medical Center
- Abbott Northwestern Hospital
- Fairview Lakes Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46268 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
6545 France Ave S
Ste 150
Edina, MN 55435
Phone (952) 848-5600
3809 42nd Ave S
Minneapolis, MN 55406
Phone (612) 407-7213
701 25th Ave S
Ste 402
Minneapolis, MN 55454
Phone (612) 672-2900
3033 Excelsior Blvd
Ste 275
Minneapolis, MN 55416
Phone (612) 827-4751
2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000
1151 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (612) 706-4500
Interoperability endpoints
- pnoll8723@fairview.direct-ci.com
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Paul, MN
- NPI 1477169233
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1043285406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 EXCELSIOR BLVD STE 275",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554165149",
"telephone_number": "612-827-4751",
"fax_number": "612-827-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 EXCELSIOR BLVD.",
"address_2": "#275",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55416",
"telephone_number": "612-827-4751",
"fax_number": "612-827-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLL",
"first_name": "PAMELA",
"middle_name": "J.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "46268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.