Individual provider Active NPI

Drew Gaurke, PA-C

  • Physician Assistant
  • Fridley, MN
National Provider Identifier
1265076855
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14312 Issued in MN
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

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 ClinicGroup PAC ID 7911819438, 1,778 clinicians

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

LicenseStateTypeSpecialty
14312MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Provisions Health Services PastSince Feb 23, 2025 Accepting new patients
Virginia Integrative Psychiatry, PC Psychiatry PastSince Jun 1, 2021 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.

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

Verify at the official NPI Registry.