NPIMap

Individual provider Active NPI

Loretta V. Pfannes, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1295095784
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57298 Issued in MN
Practice address
420 Delaware St SE
MMC 284
Minneapolis, MN 55455
Phone
(612) 626-8199
Fax
(612) 625-3238
NPI assigned
May 18, 2012
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57298 MN Primary

Addresses

Primary practice location

420 Delaware St SE
MMC 284
Minneapolis, MN 55455

Mailing address

8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-7172

Other practice location 1

420 Delaware St SE
MMC 284
Minneapolis, MN 55455-0341
Phone (612) 626-8199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150116001937 MN Practitioner - Internal Medicine 8325362536 Reassigns benefits to 3 organizations
I20160609000904 WI Practitioner - Internal Medicine 8325362536 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Amery Regional Medical Center IncGroup PAC ID 2769391960, 124 clinicians
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians
Hudson Hospital IncGroup PAC ID 0648183061, 37 clinicians

Practice addresses (Care Compare)

2635 University Ave W
Suite 160
Saint Paul, MN 55114-1271
Phone (651) 254-3500

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

411 Stageline Rd
Suite 200
Hudson, WI 54016-7848
Phone (715) 531-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Hudson Hospital, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Group Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Westfields Hospital, Inc CurrentSince Dec 31, 2025 Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Fairview Health Services CurrentSince Jan 4, 2015 Accepting new patients
Group Health, Inc. Current Accepting new patients
Fairview Health Services Internal Medicine CurrentSince Jan 4, 2015 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Westfields Hospital, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Hudson Hospital, Inc Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294

420 Delaware St SE
Ste MMC284
Minneapolis, MN 55455
Phone (612) 625-5454

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2635 University Ave W
Ste 160
Saint Paul, MN 55114
Phone (651) 254-3500

3850 Park Nicollet Blvd
St Louis Park, MN 55416
Phone (952) 883-1000

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

403 Stageline Rd
Hudson, WI 54016
Phone (715) 386-8880

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

411 Stageline Rd
#200
Hudson, WI 54016
Phone (715) 531-6700

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

Interoperability endpoints

  • Direct secure messaging: lpfannes96207@direct.healthpartners.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan Society - StillwaterStillwater, MN, CCN 245207 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2020
Dec 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1295095784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MMC 284",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-626-8199",
            "fax_number": "612-625-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Delaware St SE",
            "address_2": "MMC 284",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550341",
            "country_code": "US",
            "telephone_number": "612-626-8199",
            "fax_number": "612-625-3238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFANNES",
        "first_name": "LORETTA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "57298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.