Jacob Andrew Binder, MD
Individual provider Active NPI Emergency Medicine Physician · Stillwater, MN
NPI 1154813079 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1154813079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 68-065 (MN)
- Practice address
- 927 Churchill St W
Stillwater, MN 55082-6605 - Phone
- (651) 439-5330
- NPI assigned
- Jun 6, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240717000277 | WI | Practitioner - Emergency Medicine | 9537417258 | Reassigns benefits to 8 organizations |
| I20240717000838 | MN | Practitioner - Emergency Medicine | 9537417258 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A174373 | CA | MD | Emergency Medicine Physician |
| 68-065 | MN | MD | Emergency Medicine Physician |
| 83618 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current |
Accepting new patients | |
| St. Croix Regional Medical Center | Current |
Accepting new patients | |
| St. Croix Regional Medical Center | Current |
Accepting new patients | |
| Regions Hospital | Current |
Accepting new patients | |
| Westfields Hospital, Inc | Current |
Accepting new patients | |
| Westfields Hospital, Inc. | Current |
Accepting new patients | |
| Regions Hospital | Emergency Medicine | Current |
Accepting new patients |
| Hudson Hospital, Inc. | Current |
Accepting new patients | |
| Lakeview Memorial Hospital Association Inc. | Emergency Medicine | Current |
Accepting new patients |
| Hudson Hospital, Inc. | Current |
Accepting new patients | |
| Lakeview Memorial Hospital Association Inc | Current |
Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current |
Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
Interoperability endpoints
- jbinder593063@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A174373 | CA | |
| Emergency Medicine Physician | 207P00000X | 83618 | WI | |
| Emergency Medicine Physician | 207P00000X | 68-065 | MN | Yes |
Addresses
Primary practice location
927 Churchill St W
Stillwater, MN 55082-6605
Mailing address
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone (707) 423-3826
Other practice location 1
405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000
Other practice location 2
235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3261
Other practice location 3
101 Bodin Cir
Travis AFB, CA 94535-1809
Phone (707) 423-3826
Other practice location 4
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Other practice location 5
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600
Other practice location 6
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456
Other providers in Stillwater, MN
- Amy Bernstein
- Margaret Berry
- Nicole Marie Bettin
- Suzanne Carol Beveroth Pollack
- Carly Michelle Bierl
- Ian Eugene Binger
- Margaret Birkeland
- Laura Bisek
- Kevin John Bjork
- Hannah Blaha
All providers in Stillwater, MN · Emergency Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. 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.