Active NPI
Robin Shultz, PA-C
- Physician Assistant
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2503
- Practice address
- 8450 Seasons Pkwy
Woodbury, MN 55125-4402 - Phone
- (952) 853-8800
- NPI assigned
- Aug 28, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2503 | MN | Primary |
Addresses
Primary practice location
8450 Seasons Pkwy
Woodbury, MN 55125-4402
Mailing address
PO Box 1309 - Mail Stop 21110Q
Minneapolis, MN 55440-1309
Phone (651) 497-5803
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
14655 Galaxie Ave
Apple Valley, MN 55124-8602
18465 Orchard TRL
Lakeville, MN 55044-8885
Phone (952) 428-0950
1880 N Frontage Rd
Hastings, MN 55033-2687
Phone (612) 775-6200
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
6350 W 143Rd St
Savage, MN 55378-2890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2503 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141
8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000
8450 Seasons Pkwy
Woodbury, MN 55125
Phone (651) 702-5300
Organizations & group practices 9
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.
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- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Neurological Surgery Physician
- Coon Rapids, MN
- NPI 1275351413
-
- Cardiovascular Disease Physician
- Eden Prairie, MN
- NPI 1679707632
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Pain Clinic/Center
- Anoka, MN
- NPI 1689068462
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1063968394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1309 - MAIL STOP 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554401309",
"telephone_number": "651-497-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 SEASONS PKWY",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254402",
"telephone_number": "952-853-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTZ",
"first_name": "ROBIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "2503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.