Active NPI
Elizabeth Richardson
- Emergency Medicine Physician
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 73448
- Practice address
- 4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435 - Phone
- (952) 767-4574
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7078 | OK | |
| Emergency Medicine Physician | 207P00000X | 0322R | OK | |
| Emergency Medicine Physician | 207P00000X | 73448 | MN | Primary |
Addresses
Primary practice location
4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435
Mailing address
4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435
Phone (952) 767-4574
Other practice location 1
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 767-4574
Other practice location 2
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 767-4574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MN
- 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
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 Marketpointe Dr
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7078 | OK | MD | Mental Health Counselor |
| 0322R | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Emergency Physicians Professional Association | Emergency Medicine | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Emergency Physicians Professional Association | Current | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Bloomington, MN
- NPI 1801871934
-
- Urgent Care Clinic/Center
- Golden Valley, MN
- NPI 1750188488
-
- Primary Care Clinic/Center
- Hugo, OK
- NPI 1174599088
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1275067902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 MARKET PTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554355435",
"telephone_number": "952-767-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MARKET PTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554355435",
"telephone_number": "952-767-4574"
}
],
"practiceLocations": [
{
"address_1": "6401 France Ave S",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554352104",
"country_code": "US",
"telephone_number": "952-767-4574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E Nicollet Blvd",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553375714",
"country_code": "US",
"telephone_number": "952-767-4574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "7078",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "0322R",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "73448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.