Colin W Fennell
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Crookston, MN
NPI 1356313480 · NPPES record last updated Jan 13, 2009
Key facts
- NPI
- 1356313480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- 44689 (MN)
- Practice address
- 323 S Minnesota St
Crookston, MN 56716-1601 - Phone
- (218) 281-9553
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverview Healthcare Association
Practice addresses (Care Compare)
1140 Vanrooy Dr
Thief River Falls, MN 56701-3944
Phone (218) 281-9200
Hospital & facility affiliations
- Riverview Hospital
- Sanford Thief River Falls Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.91 of 100
- Quality
- 88.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040225000839 | MN | Practitioner - Orthopedic Surgery |
7517853617 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Healthcare Association | Current |
Accepting new patients | |
| Riverview Healthcare Association | Current | Accepting new patients | |
| Riverview Healthcare Association | Current | Accepting new patients | |
| Riverview Healthcare Association | Current |
Accepting new patients | |
| Riverview Healthcare Association | Current |
Accepting new patients |
Locations
323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200
1428 Central Ave NE
East Grand Forks, MN 56721
Phone (218) 773-1390
1140 Vanrooy Dr
Thief Rvr Fls, MN 56701
Phone (218) 281-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 44689 | MN | Yes |
Addresses
Primary practice location
323 S Minnesota St
Crookston, MN 56716-1601
Mailing address
323 S MN St
Crookson, MN 56716-1601
Phone (218) 281-9553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812029300 | Medicaid | MN |
Other providers in Crookston, MN
- William T Erickson
- Madora Mae Erno
- Irina Erofeeft
- Jeremy Joseph Eversvik
- Olatubosun Fashoro
- Lynn Marie Flateland
- Cindy Maire Flores
- Jodee Lynn Folden
- Matthew C Forgit
- Kendra L Forister
All providers in Crookston, MN · Orthopaedic Hand Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2009. 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.