Active NPI
Steven L Senica, MD
- Obstetrics & Gynecology Physician
- Baxter, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 56720
- Practice address
- 13060 Isle Dr
Baxter, MN 56425-8331 - Phone
- (218) 855-5473
- Fax
- (218) 454-5936
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0369092176 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 56720 | MN | Primary |
Addresses
Primary practice location
13060 Isle Dr
Baxter, MN 56425-8331
Mailing address
13060 Isle Dr
Baxter, MN 56425-8331
Phone (218) 855-5473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092176 | Medicaid | IL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13060 Isle Dr
Baxter, MN 56425-8331
Hospital & facility affiliations
- Essentia Health St Joseph'S Medical Center
- Essentia Health Virginia
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0369092176 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brainerd Medical Center Inc. | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Moose Lake Community Hospital District | Current | Accepting new patients | |
| Essentia Health Moose Lake | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| Brainerd Medical Center Inc | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| St Joseph'S Medical Center | Current | Accepting new patients | |
| Essentia Health Moose Lake | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Past | Accepting new patients | |
| Brainerd Medical Center Inc | Past | Accepting new patients |
Locations
13114 Isle Dr
Baxter, MN 56425
Phone (218) 822-2400
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880
13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
111 W Vernon Ave
Fergus Falls, MN 56537
Phone (218) 736-5770
712 S Cascade St
Fergus Falls, MN 56537
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
4 Deerwood Ave NW
Wadena, MN 56482
Phone (218) 631-1100
Interoperability endpoints
- ssenica347191@direct.centracare.com
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
Organizations & group practices 19
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.
-
- Rural Health Clinic/Center
- Wadena, MN
- NPI 1134305162
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Critical Access Hospital
- Moose Lake, MN
- NPI 1154959880
-
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
-
- Rural Health Clinic/Center
- Bertha, MN
- NPI 1134115942
-
- General Practice Physician
- Brainerd, MN
- NPI 1295801777
-
- Clinic Pharmacy
- Staples, MN
- NPI 1972350486
-
- Critical Access Hospital Clinic/Center
- Moose Lake, MN
- NPI 1275102048
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
-
- Chiropractor
- Fergus Falls, MN
- NPI 1265148480
-
- Critical Access Hospital
- Moose Lake, MN
- NPI 1942398029
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia, MN
- NPI 1083617120
-
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brainerd, MN
- NPI 1740393032
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1356419378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13060 ISLE DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258331",
"telephone_number": "218-855-5473",
"fax_number": "218-454-5936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13060 ISLE DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258331",
"telephone_number": "218-855-5473",
"fax_number": "218-454-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENICA",
"first_name": "STEVEN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "0369092176",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "56720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092176",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.