Active NPI
Gay Wynne Lentfer, PA
- Physician Assistant
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8961
- Practice address
- 12000 Elm Creek Blvd N
Maple Grove, MN 55369-7073 - Phone
- (763) 420-5822
- Fax
- (763) 420-6387
- NPI assigned
- Feb 22, 2006
- 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 | 8961 | MN | Primary |
Addresses
Primary practice location
12000 Elm Creek Blvd N
Maple Grove, MN 55369-7073
Mailing address
9800 Rockford Rd
Plymouth, MN 55442-2811
Phone (763) 559-0092
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, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15450 Hwy 7
Minnetonka, MN 55345-3522
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400
800 Freeport Ave NW
Elk River, MN 55330-2723
Phone (763) 581-2273
8100 42ND Ave N
New Hope, MN 55427-1107
Phone (763) 581-2273
8301 Golden Valley Rd
Suite 100
Golden Valley, MN 55427-4469
Phone (763) 581-2273
8559 Edinbrook Pkwy
Brooklyn Park, MN 55443-3747
Phone (763) 581-2273
8559 Edinbrook Pkwy
Suite 100
Brooklyn Park, MN 55443-3728
Phone (763) 581-2273
9855 Hospital Dr
Maple Grove, MN 55369-4648
9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-1000
Hospital & facility affiliations
- North Memorial Health Hospital
- Maple Grove Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8961 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients |
Locations
5615 Xerxes Ave N
Brooklyn Center, MN 55430
Phone (763) 581-5630
800 Freeport Ave NW
Ste 100
Elk River, MN 55330
Phone (763) 581-5200
9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220
9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000
9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900
8301 Golden Valley Rd
Ste 100
Minneapolis, MN 55427
Phone (763) 520-2200
4209 Webber Pkwy
Minneapolis, MN 55412
Phone (763) 553-0544
8559 Edinbrook Pkwy
Minneapolis, MN 55443
Phone (763) 425-3644
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
2600 39th Ave NE
Saint Anthony, MN 55421
Phone (612) 706-2690
Interoperability endpoints
- glentfer11168@direct.northmemorial.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.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1871927715
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1104891100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 ROCKFORD RD",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554422811",
"telephone_number": "763-559-0092",
"fax_number": "763-559-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 ELM CREEK BLVD N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697073",
"telephone_number": "763-420-5822",
"fax_number": "763-420-6387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTFER",
"first_name": "GAY",
"middle_name": "WYNNE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "8961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.