NPIMap

Individual provider Active NPI

Stephanie Ragan

  • Foot & Ankle Surgery Podiatrist
  • Minneapolis, MN
National Provider Identifier
1114480308
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1114 Issued in MN
Practice address
701 Park Ave
Minneapolis, MN 55415-1623
Phone
(612) 873-3000
NPI assigned
Apr 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 1114 MN Primary

Addresses

Primary practice location

701 Park Ave
Minneapolis, MN 55415-1623

Mailing address

3951 144TH St NW
Monticello, MN 55362-6268
Phone (507) 272-9463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002233 MN Practitioner - Podiatry 2062896814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud Foot and Ankle Center PAGroup PAC ID 2062589740, 5 clinicians

Practice addresses (Care Compare)

106 Doctors Park
Saint Cloud, MN 56303-1207
Phone (320) 251-5444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.31 of 100Reported as group
Quality
97.46
Promoting interoperability
89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as group
Quality
79.81
Promoting interoperability
100
Improvement activities
40
Cost
79.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions1-10
Removal of nail tissue162
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1114MNMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
St Cloud Foot & Ankle Center PA Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

106 Doctors Park
Saint Cloud, MN 56303
Phone (320) 251-5444

Interoperability endpoints

  • Direct secure messaging: sragan637257@direct.centracare.com
  • FHIR API: https://api.platform.athenahealth.com/14770/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.ragan.1@14770.direct.athenahealth.com

Organizations & group practices 1

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.

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": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1114480308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 144TH ST NW",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553626268",
            "telephone_number": "507-272-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.