Samantha Bendzick
Individual provider Active NPI Physician Assistant · Chaska, MN
NPI 1154777225 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1154777225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 12626 (MN)
- Practice address
- 111 Hundertmark Rd
Chaska, MN 55318-4551 - Phone
- (952) 448-2050
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Florida College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ridgeview Medical Center
Allina Health System
Practice addresses (Care Compare)
111 Hundertmark Rd
Suite 220
Chaska, MN 55318-1197
Phone (952) 856-4001
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
775 Prairie Ctr Dr
Suite 400
Eden Prairie, MN 55344-7322
Phone (612) 775-6200
7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570
Hospital & facility affiliations
- Ridgeview Medical Center
- St Francis Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180322000846 | MN | Practitioner - Physician Assistant | 2769779016 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109609 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Valley Health Center Inc | Current |
Accepting new patients | |
| Sibley Medical Center | Current |
Accepting new patients | |
| Ridgeview Medical Center | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Ridgeview Medical Center | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Minnesota Valley Health Center Inc | Current |
Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271
7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570
111 Hundertmark Rd
Chaska, MN 55318
Phone (952) 361-2447
111 Hundertmark Rd
Ste 220
Chaska, MN 55318
Phone (952) 428-2050
111 Hundertmark Rd
Ste 115N
Chaska, MN 55318
Phone (952) 361-2450
621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
Interoperability endpoints
- sbendzick190997@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109609 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 12626 | MN | Yes |
Addresses
Primary practice location
111 Hundertmark Rd
Chaska, MN 55318-4551
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbendzick190997@excellian.direct.allina.com | Direct |
Other providers in Chaska, MN
- Auburn Manor
- Autism Assistance & Therapy Center, Inc.
- Jason Lee Baumberger
- Jessica Beck
- Michael Ray Beckman
- Laura Lee Bergjord
- Brittany Bergstrom
- Benjamin Bevis
- Lindsay Pfeifer Bevis
- Bhatti Gastroenterology Consultants, P.a.
All providers in Chaska, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.