Active NPI
Avri Ann Bock, PA-C
- Medical Physician Assistant
- Minnetonka, MN
National Provider Identifier
1184147514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 12642
- Practice address
- 14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747 - Phone
- (952) 249-2000
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12462 | MN | |
| Medical Physician Assistant | 363AM0700X | 12642 | MN | Primary |
Addresses
Primary practice location
14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747
Mailing address
330 Carlson Pkwy Apt 301
Minnetonka, MN 55305-5327
Other practice location 1
3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3123
Other practice location 2
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (612) 270-0931
Other names 1
- Avri Jones
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 249-2000
800 Prairie Ctr Dr
Suite 130
Eden Prairie, MN 55344-7329
Phone (952) 249-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- avri.bock.1@20897.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Edina, MN
- NPI 1801946223
-
- Obstetrics & Gynecology Physician
- St Paul, MN
- NPI 1659355741
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1184147514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CARLSON PKWY APT 301",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR STE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051747",
"telephone_number": "952-249-2000"
}
],
"practiceLocations": [
{
"address_1": "3931 Louisiana Ave S",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554265000",
"country_code": "US",
"telephone_number": "952-993-3123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6500 Excelsior Blvd",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554264702",
"country_code": "US",
"telephone_number": "612-270-0931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOCK",
"first_name": "AVRI",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12462",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": "12642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVRI",
"last_name": "JONES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.