Individual provider Active NPI

Lindsay Anne Fisher Bergstreser, PA-C

  • Pain Medicine Physician
  • Burnsville, MN
National Provider Identifier
1063671337
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
10422 Issued in MN
Practice address
2428 E 117TH St
Burnsville, MN 55337
Phone
(612) 444-3000
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1131 MN
Pain Medicine Physician 208VP0000X 10422 MN Primary

Addresses

Primary practice location

2428 E 117TH St
Burnsville, MN 55337

Mailing address

2428 E 117TH St
Burnsville, MN 55337-1269
Phone (612) 444-3000

Other practice location 1

2220 Riverside Ave
Minneapolis, MN 55454-1321
Phone (612) 371-1600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080728000456 MN Practitioner - Physician Assistant 0244304046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Pain Relief and Wellness Center PLLCGroup PAC ID 7517198211, 17 clinicians

Practice addresses (Care Compare)

2428 E 117TH St
Burnsville, MN 55337-1269
Phone (612) 444-3000

2440 E 117TH St
Burnsville, MN 55337-1269
Phone (651) 331-8478

2847 Johnson St NE
Minneapolis, MN 55418-3055
Phone (612) 444-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10422MNMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pain Relief and Wellness Center, PLLC Pain Medicine Current Accepting new patients
Group Health, Inc. CurrentSince Jul 2, 2008 Accepting new patients
Group Health, Inc. CurrentSince Jul 2, 2008 Accepting new patients
Valley Pain Relief and Wellness Center, PLLC CurrentSince Jul 14, 2015 Accepting new patients

Locations

2440 E 117th St
Burnsville, MN 55337
Phone (651) 331-8478

2428 E 117th St
Burnsville, MN 55337

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

2847 Johnson St NE
Minneapolis, MN 55418
Phone (612) 789-7277

3224 6th Ave NE
Unit B
Rochester, MN 55906

1789 Woodlane Dr
Ste A
Woodbury, MN 55125

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1063671337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "612-444-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541321",
            "country_code": "US",
            "telephone_number": "612-371-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGSTRESER",
        "first_name": "LINDSAY",
        "middle_name": "ANNE FISHER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "1131",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MN",
            "license": "10422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.