Individual provider Active NPI

Lindy C Eatwell, DO

  • Family Medicine Physician
  • St James, MN
National Provider Identifier
1124132956
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50241 Issued in MN
Practice address
1101 Moulton and Parson Drive
St James, MN 56081-0460
Phone
(507) 375-3391
Fax
(507) 375-8636
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50421 MN
Family Medicine Physician 207Q00000X 3548 IA
Family Medicine Physician 207Q00000X 50241 MN Primary

Addresses

Primary practice location

1101 Moulton and Parson Drive
St James, MN 56081-0460

Mailing address

1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071110000109 MN Practitioner - Family Practice 8426042573 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
50421MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Family Medicine Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Sanford Health Network CurrentSince Jan 29, 2024 Accepting new patients
Sanford Health Network Family Medicine CurrentSince Jan 29, 2024 Accepting new patients
Aeris Medical Group PLLC CurrentSince Apr 13, 2025 Accepting new patients
Sanford Health Network Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jan 1, 2018 Accepting new patients
Provider Partners Care Management LP Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Sanford Health Network Family Medicine Current Accepting new patients
The Emeralds at Faribault LLC Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

800 2nd Ave NW
Plainview, MN 55964
Phone (507) 534-3191

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

625 N Jackson Ave
Springfield, MN 56087
Phone (507) 723-3523

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1124132956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MOULTON AND PARSONS DR",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560815550",
            "telephone_number": "507-375-3261",
            "fax_number": "507-375-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MOULTON AND PARSON DRIVE",
            "city": "ST JAMES",
            "state": "MN",
            "postal_code": "560810460",
            "telephone_number": "507-375-3391",
            "fax_number": "507-375-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATWELL",
        "first_name": "LINDY",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "50421",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3548",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "50241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St James, MN

Sources for this page

Verify at the official NPI Registry.