Individual provider Active NPI

Dana Lucas Brewington, DPM

  • Podiatrist
  • Edina, MN
National Provider Identifier
1205933553
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
793 Issued in MN
Practice address
7600 France Ave S Ste 1100
Edina, MN 55435-5924
Phone
(952) 926-3566
Fax
(952) 929-3358
NPI assigned
Sep 20, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001063 GA
Podiatrist 213E00000X 793 MN Primary

Addresses

Primary practice location

7600 France Ave S Ste 1100
Edina, MN 55435-5924

Mailing address

7600 France Ave S Ste 1100
Edina, MN 55435-5924
Phone (763) 545-7545

Other practice location 1

2600 39th Ave NE
Suite #250
Minneapolis, MN 55421-4379
Phone (612) 788-8778

Other practice location 2

2600 39th Ave NE
Suite #250
Minneapolis, MN 55421-4379
Phone (612) 788-8778

Other names 1

  • Mrs. Dana Rochelle Lucas Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071018000104 MN Practitioner - Podiatry 5294735239 Reassigns benefits to 2 organizations
I20240226001095 WI Practitioner - Podiatry 5294735239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In House Senior Services LLCGroup PAC ID 7113170267, 16 clinicians

Practice addresses (Care Compare)

6625 Lyndale Ave S
Suite 105
Richfield, MN 55423-2673
Phone (612) 788-8778

674 290TH St
Wilson, WI 54027-2452
Phone (612) 243-8999

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2090
Removal or shaving of skin growth325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001063GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Feet, Foot & Ankle Health Center CurrentSince Feb 1, 2020 Accepting new patients
Active Feet , Foot & Ankle Health Center Podiatrist CurrentSince Feb 1, 2020 Accepting new patients
Maplewood Podiatry, LLC Podiatrist Past Accepting new patients
Mullen Elder Care, P.C. Past Accepting new patients
Mark P. Elam, M.D., P.C. Past Accepting new patients
Johnson County Nursing Home, Inc. Past Accepting new patients
Johnson County Nursing Home, Inc. Past Accepting new patients

Locations

7430 80th St S
Ste 104
Cottage Grove, MN 55016
Phone (651) 459-9171

6600 Lyndale Ave S
Ste 130
Richfield, MN 55423
Phone (612) 243-8999

6625 Lyndale Ave S
Ste 105
Richfield, MN 55423
Phone (612) 200-8029

6625 Lyndale Ave S
Ste 300
Richfield, MN 55423
Phone (612) 243-8999

2600 39th Ave NE
Ste 250
Saint Anthony, MN 55421
Phone (612) 788-7274

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205933553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "763-545-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "952-926-3566",
            "fax_number": "952-929-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 39th Ave NE",
            "address_2": "Suite #250",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554214379",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 39th Ave NE",
            "address_2": "Suite #250",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554214379",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWINGTON",
        "first_name": "DANA",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001063",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "LUCAS",
            "middle_name": "ROCHELLE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.