Individual provider Active NPI

Stephen Jude Rapatz-Harr, PA

  • Medical Physician Assistant
  • Faribault, MN
National Provider Identifier
1285660928
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8917 Issued in MN
Practice address
200 State Ave
Faribault, MN 55021-6339
Phone
(507) 334-8333
Fax
(507) 497-3898
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8917 MN Primary

Addresses

Primary practice location

200 State Ave
Faribault, MN 55021-6339

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279

Other identifiers 1

IdentifierTypeStateIssuer
948153200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000031 MN Practitioner - Physician Assistant 9638185853 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8917MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mille Lacs Health System CurrentSince Jul 16, 2012 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 26, 2020 Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Unity Family Healthcare CurrentSince Mar 11, 2020 Accepting new patients
Unity Family Healthcare CurrentSince Mar 11, 2020 Accepting new patients
Mille Lacs Health System CurrentSince Jul 16, 2012 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 26, 2020 Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

13205 Isle Dr
Baxter, MN 56425
Phone (218) 454-7600

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

251 County Road 120
Sartell, MN 56303
Phone (320) 202-8949

Interoperability endpoints

  • Direct secure messaging: srapatzharr27329@direct.centracare.com

Organizations & group practices 12

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1285660928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY AVE SE STE 730",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216339",
            "telephone_number": "507-334-8333",
            "fax_number": "507-497-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPATZ-HARR",
        "first_name": "STEPHEN",
        "middle_name": "JUDE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "8917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948153200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.