Olga T. Ahmann, PA
Individual provider Active NPI Physician Assistant · St. Paul, MN
NPI 1285076331 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1285076331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 11360 (MN)
- Practice address
- 640 Jackson Street
St. Paul, MN 55101-2502 - Phone
- (651) 254-3456
- Fax
- (651) 254-9673
- NPI assigned
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Group Health Inc
Practice addresses (Care Compare)
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
- Regions Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141124000435 | MN | Practitioner - Physician Assistant | 8022330364 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Regions Hospital | Past | Accepting new patients | |
| Group Health, Inc. | Past | Accepting new patients |
Locations
8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11360 | MN | Yes |
Addresses
Primary practice location
640 Jackson Street
St. Paul, MN 55101-2502
Mailing address
PO Box 1309
8170 33Rd Ave S
Minneapolis, MN 55425-4516
Phone (651) 254-3456
Other providers in St. Paul, MN
- Ryan Ahlgren
- Cara Ahlgrim
- Logan Ahlness
- Marguerite Ahlstrom
- Aqeel Ahmad
- Abdulqadir Ahmed Khalif
- Zayed I Ahmed Lamu
- Ahmed Salad Associates
- Abdalla Ahmed
- Abdifatah Ahmed
All providers in St. Paul, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.