Individual provider Active NPI

Gina Mackenzie Wolfgram, AU.D.

  • Audiologist
  • Rochester, MN
National Provider Identifier
1376985077
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LICC-1036 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-1239
Phone
(507) 266-3903
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 8886 MN
Audiologist 231H00000X LICC-1036 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-1239

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511

Other practice location 1

5565 Blaine Ave Ste 225
Inver Grove Heights, MN 55076-1239
Phone (651) 888-7803

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gwolfgram2381764@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226000098 MN Practitioner - Qualified Audiologist 4587980107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Missouri Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8886MNMDDentist
LICC-1036MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Current Accepting new patients
Park Nicollet Clinic CurrentSince Nov 5, 2018 Accepting new patients
Andros ENT & Sleep Center PA CurrentSince Apr 10, 2017 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Mayo Clinic CurrentSince Jan 28, 2025 Accepting new patients
Mayo Clinic CurrentSince Jan 28, 2025 Accepting new patients

Locations

5565 Blaine Ave
Ste 225
Inver Grove Heights, MN 55076
Phone (651) 888-7800

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Interoperability endpoints

  • Direct secure messaging: gwolfgram2381764@ehrdirect.mayoclinicmsg.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8eec72c0-b1a5-472c-aba8-b566cb8522fc/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1376985077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559051239",
            "telephone_number": "507-266-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5565 Blaine Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Inver Grove Heights",
            "state": "MN",
            "postal_code": "550761239",
            "country_code": "US",
            "telephone_number": "651-888-7803",
            "fax_number": "651-888-7803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFGRAM",
        "first_name": "GINA",
        "middle_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "8886",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "LICC-1036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwolfgram2381764@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559051239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.