Individual provider Active NPI

Eric Evan Kirksson, MD

  • Physical Medicine & Rehabilitation Physician
  • Saint Paul, MN
National Provider Identifier
1184870255
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
51158 Issued in MN
Practice address
1321 Payne Ave Unit 2
Saint Paul, MN 55130-3433
Phone
(651) 371-4880
Fax
(651) 371-4881
NPI assigned
Aug 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 56002 WI
Physical Medicine & Rehabilitation Physician 208100000X 51158 MN Primary

Addresses

Primary practice location

1321 Payne Ave Unit 2
Saint Paul, MN 55130-3433

Mailing address

1321 Payne Ave Unit 2
Saint Paul, MN 55130-3433
Phone (651) 371-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080908000028 MN Practitioner - Physical Medicine and Rehabilitation 0648346122 Reassigns benefits to 1 organization
I20120228000751 WI Practitioner - Physical Medicine and Rehabilitation 0648346122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Minnesota Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

2211 Vine St
Hudson, WI 54016-1899
Phone (715) 386-1155

2651 Hillcrest Dr
Suite 101
Hudson, WI 54016-9919
Phone (800) 423-1088

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

4040 Radio Dr
Woodbury, MN 55129-3237
Phone (651) 439-8807

5715 Memorial Ave N
Oak Park Heights, MN 55082-1093
Phone (651) 439-8807

820 Village Way
Waconia, MN 55387-4612

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51158MNMDPhysical Medicine & Rehabilitation Physician
56002WIMDPhysical Medicine & Rehabilitation Physician
103943MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Jul 1, 2015 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 1, 2015 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

8650 Hudson Blvd N
Ste 100
Lake Elmo, MN 55042
Phone (651) 275-2728

7866 12th Ave S
Minneapolis, MN 55425

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

5715 Memorial Ave N
Stillwater, MN 55082
Phone (514) 398-8076

4040 Radio Dr
Ste 200
Woodbury, MN 55129

4040 Radio Dr
Woodbury, MN 55129
Phone (514) 398-8076

5130 Fairview Blvd
Ste 100
Wyoming, MN 55092

411 Stageline Rd
#100
Hudson, WI 54016

2651 Hillcrest Dr
Ste 101
Hudson, WI 54016
Phone (800) 423-1088

2211 Vine St
Hudson, WI 54016
Phone (715) 386-1155

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

Interoperability endpoints

  • Direct secure messaging: erickirksson@tw.allscriptsdirect.net

Organizations & group practices 3

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1184870255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 PAYNE AVE UNIT 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303433",
            "telephone_number": "651-371-4880",
            "fax_number": "651-371-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 PAYNE AVE UNIT 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303433",
            "telephone_number": "651-371-4880",
            "fax_number": "651-371-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKSSON",
        "first_name": "ERIC",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "56002",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "51158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.