NPIMap

Individual provider Active NPI

Eric Sage Salman, P.A.C

  • Physician Assistant
  • Roseville, MN
National Provider Identifier
1366488587
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00062924 Issued in MN
Practice address
1835 County Road C W Ste 150
Roseville, MN 55113-1343
Phone
(651) 430-3800
Fax
(651) 430-3827
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00062701 WI
Physician Assistant 363A00000X 00062924 MN Primary

Addresses

Primary practice location

1835 County Road C W Ste 150
Roseville, MN 55113-1343

Mailing address

1950 Northwestern Ave S
Ste 102
Stillwater, MN 55082-7615
Phone (651) 430-3800

Other identifiers 9

IdentifierTypeStateIssuer
970000766OtherMNRR MEDICARE
1022092OtherMNAMERICAS PPO
42994400MedicaidWI
HP30663OtherMNHEALTHPARTNERS
801634800MedicaidMN
129779OtherMNUCARE
56B10SAOtherMNBLUE CROSS & BLUE SHIELD
0119751OtherMNMEDICA
1023774OtherMNPREFERRED ONE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address esalman83850@excellian.direct.allina.com Direct
Direct Messaging Address esalman83850@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 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
I20040714000082 WI Practitioner - Physician Assistant 4789663873 Reassigns benefits to 4 organizations
I20120123000779 MN Practitioner - Physician Assistant 4789663873 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221

235 State St
St Croix Falls, WI 54024-4117

280 Smith Ave N
Suite 600
Saint Paul, MN 55102-2446
Phone (651) 241-7246

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

PO Box
Minneapolis, MN 55440-0043

Hospital & facility affiliations

  • St Croix Regional Medical Center Hospital, Saint Croix Falls, WI, CCN 521337
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9531MNMDSpeech-Language Pathologist
00062924MNMDPhysician Assistant
00062701WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care CurrentSince Mar 1, 2023 Accepting new patients
Allina Health System CurrentSince Feb 6, 2017 Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2023 Accepting new patients
Allina Health System CurrentSince Feb 6, 2017 Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince Feb 1, 2017 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jan 1, 2017 Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

305 E Nicollet Blvd
Ste 372
Burnsville, MN 55337
Phone (952) 460-4130

7270 Forestview Ln N
Ste 100
Maple Grove, MN 55369

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

7373 France Ave S
Ste 408
Minneapolis, MN 55435
Phone (952) 831-8228

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

1835 County Road C W
Ste 150
Roseville, MN 55113
Phone (763) 581-0340

255 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5000

1950 Curve Crest Blvd W
Ste 10
Stillwater, MN 55082

1950 Curve Crest Blvd W
Ste 100
Stillwater, MN 55082
Phone (612) 430-3800

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

Interoperability endpoints

  • Direct secure messaging: eric.salmanpac.p1@direct.midwestspinebrain.nextgenshare.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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1366488587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NORTHWESTERN AVE S",
            "address_2": "STE 102",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827615",
            "telephone_number": "651-430-3800",
            "fax_number": "651-241-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 COUNTY ROAD C W STE 150",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131343",
            "telephone_number": "651-430-3800",
            "fax_number": "651-430-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMAN",
        "first_name": "ERIC",
        "middle_name": "SAGE",
        "name_prefix": "Mr.",
        "credential": "P.A.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "00062701",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "00062924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970000766",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAS PPO",
            "identifier": "1022092",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42994400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP30663",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801634800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "129779",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "56B10SA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0119751",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1023774",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esalman83850@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "235 E State St",
            "city": "Saint Croix Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540244117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esalman83850@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "235 E State St",
            "city": "Saint Croix Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540244117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.