Active NPI
Christine Gosen, MD
- Emergency Medicine Physician
- Bloomington, MN
National Provider Identifier
1295051464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 56168
- Practice address
- 4300 Marketpointe Dr Ste 100
Bloomington, MN 55435 - Phone
- (952) 835-9880
- Fax
- (952) 857-1554
- NPI assigned
- Apr 13, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 56168 | MN | Primary |
Addresses
Primary practice location
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435
Mailing address
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone (952) 835-9880
Other practice location 1
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000
Other practice location 2
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130809000043 | MN | Practitioner - Emergency Medicine | 0042452773 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physicians Professional Association
Practice addresses (Care Compare)
3010 Denmark Ave
Eagan, MN 55121-2271
Phone (651) 789-9900
Hospital & facility affiliations
- M Health Fairview Ridges Hospital
- M Health Fairview Southdale Hospital
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56168 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Professional Association | Current | Accepting new patients | |
| Emergency Physicians Professional Association | Emergency Medicine | 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
3010 Denmark Ave
Saint Paul, MN 55121
Phone (651) 789-9900
Organizations & group practices 2
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
Emergency Medicine, MN
-
- Urgent Care Clinic/Center
- Golden Valley, MN
- NPI 1750188488
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1295051464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 MARKETPOINTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554355435",
"telephone_number": "952-835-9880",
"fax_number": "952-857-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MARKETPOINTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-835-9880",
"fax_number": "952-857-1554"
}
],
"practiceLocations": [
{
"address_1": "201 E Nicollet Blvd",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553375714",
"country_code": "US",
"telephone_number": "952-892-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6401 France Ave S",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554352104",
"country_code": "US",
"telephone_number": "952-924-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSEN",
"first_name": "CHRISTINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "56168",
"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 Jul 25, 2018; 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.