Individual provider Active NPI

Christopher Sean Lanctin, PA-C

  • Physician Assistant
  • Robbinsdale, MN
National Provider Identifier
1093348542
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13420 Issued in MN
Practice address
3366 Oakdale Ave N Ste 303
Robbinsdale, MN 55422-2977
Phone
(763) 520-7700
Fax
(833) 905-2110
NPI assigned
Feb 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 13420 MN Primary
Medical Physician Assistant 363AM0700X 13420 MN

Addresses

Primary practice location

3366 Oakdale Ave N Ste 303
Robbinsdale, MN 55422-2977

Mailing address

2001 Killebrew Dr Ste 308
Bloomington, MN 55425-1886
Phone (651) 999-7022

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
I20210120000213 MN Practitioner - Physician Assistant 8729407549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Urology, PAGroup PAC ID 0840183984, 83 clinicians

Practice addresses (Care Compare)

1185 Town Centre Dr
Eagan, MN 55123-1189
Phone (651) 999-6800

560 S Maple St
Suite 220
Waconia, MN 55387-1757
Phone (763) 520-7700

6001 96TH LN N
Suite 250
Brooklyn Park, MN 55445-4602
Phone (763) 520-7700

6025 Lake Rd
Suite 200
Woodbury, MN 55125-1710
Phone (651) 999-6800

7500 France Ave S
Edina, MN 55435-3400
Phone (952) 927-6501

Hospital & facility affiliations

  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
  • Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056
  • Maple Grove Hospital Hospital, Maple Grove, MN, CCN 240214

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
64.59
Promoting interoperability
100
Improvement activities
40
Cost
84.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13420MNMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: christopher.lanctin.1@20581.direct.athenahealth.com

Organizations & group practices 2

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1093348542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KILLEBREW DR STE 308",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251886",
            "telephone_number": "651-999-7022",
            "fax_number": "651-999-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N STE 303",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222977",
            "telephone_number": "763-520-7700",
            "fax_number": "833-905-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCTIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "SEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13420",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "13420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

Verify at the official NPI Registry.