Individual provider Active NPI

James A Pfeifle, PAC

  • Medical Physician Assistant
  • Winsted, MN
National Provider Identifier
1104825132
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9121 Issued in MN
Practice address
551 4TH St N
Winsted, MN 55395-0000
Phone
(320) 485-4803
Fax
(320) 485-4499
NPI assigned
Jul 20, 2005
Last updated
May 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9121 MN Primary

Addresses

Primary practice location

551 4TH St N
Winsted, MN 55395-0000

Mailing address

PO Box 718
Winsted, MN 55395-0718
Phone (320) 485-4803

Other identifiers 1

IdentifierTypeStateIssuer
686530500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

4200 Dahlberg Dr
Suite 300
Golden Valley, MN 55422-4841

500 S Maple St
Waconia, MN 55387-1791

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9121MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Chiropractic Health and Healing Inc. PastSince Jun 7, 2018 Accepting new patients
Ridgeview Clinics Past Accepting new patients
Ridgeview Clinics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1104825132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "553950718",
            "telephone_number": "320-485-4803",
            "fax_number": "320-485-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 4TH ST N",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "553950000",
            "telephone_number": "320-485-4803",
            "fax_number": "320-485-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFLE",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686530500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, MN

Sources for this page

Verify at the official NPI Registry.