Individual provider Active NPI

Lindsay Rae Emmerich, PAC

  • Adult Medicine Physician
  • Edina, MN
National Provider Identifier
1205303070
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
12827 Issued in MN
Practice address
7600 France Ave S Ste 4100
Edina, MN 55435-6027
Phone
(952) 831-1551
Fax
(952) 831-0725
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 12827 MN Primary

Addresses

Primary practice location

7600 France Ave S Ste 4100
Edina, MN 55435-6027

Mailing address

7600 France Ave S Ste 4100
Edina, MN 55435-6027
Phone (952) 831-1551

Other names 1

  • Lindsay Bartkowiak Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181203002050 MN Practitioner - Physician Assistant 4880938828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
France Avenue Family Physicians, P.a.Group PAC ID 9234038837, 9 clinicians

Practice addresses (Care Compare)

7600 France Ave S
Suite 4100
Edina, MN 55435-6027
Phone (952) 831-1551

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: lindsayemmerich@franceavef.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1205303070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 4100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356027",
            "telephone_number": "952-831-1551",
            "fax_number": "952-831-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 4100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356027",
            "telephone_number": "952-831-1551",
            "fax_number": "952-831-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMERICH",
        "first_name": "LINDSAY",
        "middle_name": "RAE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MN",
            "license": "12827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "BARTKOWIAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.