Individual provider Active NPI

Lindsey Marie Rydlund, PA-C

  • Physician Assistant
  • Anoka, MN
National Provider Identifier
1063853323
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1918 Issued in MN
Practice address
601 Jacob LN
Anoka, MN 55303
Phone
(783) 587-4200
Fax
(763) 587-4205
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1918 MN Primary

Addresses

Primary practice location

601 Jacob LN
Anoka, MN 55303

Mailing address

8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Phone (763) 587-4200

Other practice location 1

15655 37th Ave N
Suite 100
Plymouth, MN 55446-3207
Phone (763) 587-7900

Other practice location 2

601 Jacob Ln
Anoka, MN 55303-1776
Phone (783) 587-4200

Other practice location 3

15655 37th Ave N
Suite 100
Plymouth, MN 55446-3207
Phone (763) 587-7900

Other practice location 4

15655 37th Ave N
Suite 100
Plymouth, MN 55446-3207
Phone (763) 587-7900

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
I20130924000332 MN Practitioner - Physician Assistant 3779727268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialty Care of Minnesota PAGroup PAC ID 3274524020, 46 clinicians

Practice addresses (Care Compare)

6099 Wayzata Blvd
Suite 200
St Louis Park, MN 55416-5538
Phone (612) 871-1144

9822 Hospital Dr
Maple Grove, MN 55369-4648
Phone (612) 871-1144

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Jul 10, 2019 Accepting new patients
Group Health Plan, Inc. CurrentSince Jul 10, 2019 Accepting new patients

Locations

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

3960 Coon Rapids Blvd NW
Ste 104
Minneapolis, MN 55433
Phone (763) 236-9000

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

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

3366 Oakdale Ave N
Ste 215
Robbinsdale, MN 55422
Phone (612) 588-4625

Interoperability endpoints

  • Direct secure messaging: lrydlund97593@direct.healthpartners.com

Organizations & group practices 4

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1063853323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "763-587-4200",
            "fax_number": "763-587-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JACOB LN",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "55303",
            "telephone_number": "783-587-4200",
            "fax_number": "763-587-4205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15655 37th Ave N",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554463207",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Jacob Ln",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "553031776",
            "country_code": "US",
            "telephone_number": "783-587-4200",
            "fax_number": "763-587-4205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15655 37th Ave N",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554463207",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15655 37th Ave N",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554463207",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDLUND",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "1918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

Verify at the official NPI Registry.