Chen Chen, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Wyoming, MN
NPI 1053808147 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1053808147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 69330 (MN)
- Practice address
- 5200 Fairview Blvd
Wyoming, MN 55092-8013 - Phone
- (651) 982-7000
- NPI assigned
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Minnesota Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Clinics
Practice addresses (Care Compare)
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
Hospital & facility affiliations
- Fairview Lakes Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 91.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20220822000733 | MN | Practitioner - Obstetrics/Gynecology | 2466700463 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69330 | MN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Single Specialty | Current | Accepting new patients |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Clinics | Single Specialty | Current | Accepting new patients |
| Fairview Health Services | Single Specialty | Current |
Accepting new patients |
| Range Regional Health Services | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Grand Itasca Clinic and Hospital | Single Specialty | Current |
Accepting new patients |
| Grand Itasca Clinic and Hospital | Current |
Accepting new patients | |
| Range Regional Health Services | Single Specialty | Current | Accepting new patients |
| Fairview Express Care | Past | Accepting new patients | |
| Fairview Health Services | Single Specialty | Past | Accepting new patients |
| Fairview Clinics | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
420 Delaware St SE
#395
Minneapolis, MN 55455
Phone (612) 301-3417
420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 69330 | MN | Yes |
Addresses
Primary practice location
5200 Fairview Blvd
Wyoming, MN 55092-8013
Mailing address
420 Delaware St SE
MMC 395
Minneapolis, MN 55455
Phone (612) 301-3417
Other practice location 1
420 Delaware St SE
MMC 395
Minneapolis, MN 55455
Phone (612) 301-3417
Other providers in Wyoming, MN
- John B Carlson-Buren
- Lindsey Carlson
- Tricia Carlson
- Patrick Casey
- Kevin R Chatwin
- Thomas K Comfort
- Mark Brian Olmscheid Comnick
- Sean Joseph Condon
- Margaret Olubunmi Daramola
- Nancy Kathryn Darling
All providers in Wyoming, MN · Obstetrics & Gynecology 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 Aug 8, 2022. 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.