Active NPI
Drew Gaurke, PA-C
- Physician Assistant
- Fridley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14312
- Practice address
- 7980 University Ave NE
Fridley, MN 55432-1860 - Phone
- (763) 432-5530
- NPI assigned
- Nov 6, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0110007874 | VA | |
| Physician Assistant | 363A00000X | 0110007874 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 14312 | MN | Primary |
Addresses
Primary practice location
7980 University Ave NE
Fridley, MN 55432-1860
Mailing address
3950 Scott Ave N
Robbinsdale, MN 55422-2025
Phone (815) 978-2982
Other practice location 1
3950 Scott Ave N
Robbinsdale, MN 55422-2025
Phone (815) 978-2982
Other practice location 2
178 9th St E Ste 300
Saint Paul, MN 55101-2577
Phone (877) 440-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211012000835 | VA | Practitioner - Physician Assistant | 0547668188 | |
| I20260624003335 | MN | Practitioner - Physician Assistant | 0547668188 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Park Nicollet Clinic
Practice addresses (Care Compare)
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14312 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provisions Health Services | Past | Accepting new patients | |
| Virginia Integrative Psychiatry, PC | Psychiatry | Past | Accepting new patients |
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.
-
- Clinic/Center
- Eau Claire, WI
- NPI 1487229761
-
- Psychiatry Physician
- Fredericksburg, VA
- NPI 1992256135
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1265076855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 SCOTT AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222025",
"telephone_number": "815-978-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7980 UNIVERSITY AVE NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554321860",
"telephone_number": "763-432-5530"
}
],
"practiceLocations": [
{
"address_1": "3950 Scott Ave N",
"address_purpose": "LOCATION",
"city": "Robbinsdale",
"state": "MN",
"postal_code": "554222025",
"country_code": "US",
"telephone_number": "815-978-2982",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "178 9th St E Ste 300",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012577",
"country_code": "US",
"telephone_number": "877-440-1001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAURKE",
"first_name": "DREW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-06",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0110007874",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007874",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.