Individual provider Active NPI

Karin Filip, PAC-C

  • Physician Assistant
  • Andover, MN
National Provider Identifier
1124486097
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11993 Issued in MN
Practice address
15245 Bluebird St NW
Andover, MN 55304-3538
Phone
(763) 587-4688
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11993 MN Primary

Addresses

Primary practice location

15245 Bluebird St NW
Andover, MN 55304-3538

Mailing address

21395 John Milless Dr Ste 100
Rogers, MN 55374-4404
Phone (763) 504-6400

Other practice location 1

800 Freeport Ave NW Ste 102
Elk River, MN 55330-2887
Phone (763) 581-5200

Other practice location 2

2621 Greenhaven Rd
Anoka, MN 55303-5566
Phone (763) 587-4688

Other practice location 3

530 3rd St NW
Elk River, MN 55330-1445
Phone (763) 587-4688

Other practice location 4

21395 John Milless Dr Ste 100
Rogers, MN 55374-4404
Phone (763) 504-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Rogers Direct

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
I20160316002613 MN Practitioner - Physician Assistant 4688970619 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11993MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Medical Center CurrentSince Feb 4, 2019 Accepting new patients
Ridgeview Medical Center CurrentSince Feb 4, 2019 Accepting new patients
Sibley Medical Center CurrentSince Feb 4, 2019 Accepting new patients
Family Support Services Inc. PastSince Jan 1, 2024 Accepting new patients
Minneapolis Radiology Associates, LTD. PastSince Jan 1, 2021 Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 6

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": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1124486097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR STE 100",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744404",
            "telephone_number": "763-504-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 BLUEBIRD ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043538",
            "telephone_number": "763-587-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Freeport Ave NW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553302887",
            "country_code": "US",
            "telephone_number": "763-581-5200",
            "fax_number": "763-581-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 Greenhaven Rd",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "553035566",
            "country_code": "US",
            "telephone_number": "763-587-4688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 3rd St NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301445",
            "country_code": "US",
            "telephone_number": "763-587-4688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21395 John Milless Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "MN",
            "postal_code": "553744404",
            "country_code": "US",
            "telephone_number": "763-504-6400",
            "fax_number": "763-746-3685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILIP",
        "first_name": "KARIN",
        "credential": "PAC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rogers",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21395 John Milless Dr Ste 100",
            "city": "Rogers",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553744404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

Verify at the official NPI Registry.