Active NPI
Eric Evan Kirksson, MD
- Physical Medicine & Rehabilitation Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 51158
- 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
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 |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51158 | MN | MD | Physical Medicine & Rehabilitation Physician |
| 56002 | WI | MD | Physical Medicine & Rehabilitation Physician |
| 103943 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.