Active NPI
Kristan Lam
- Audiologist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 9650
- Practice address
- 2525 Chicago Ave
Minneapolis, MN 55404-4518 - Phone
- (612) 813-6000
- NPI assigned
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 078062 | IA | |
| Audiologist | 231H00000X | 078000 | IA | |
| Audiologist | 231H00000X | 9650 | MN | Primary |
Addresses
Primary practice location
2525 Chicago Ave
Minneapolis, MN 55404-4518
Mailing address
17590 Hemlock Ave
Lakeville, MN 55044-3904
Other names 1
- Kristan Sershen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078062 | IA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients |
Locations
13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Organizations & group practices 13
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.
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Emergency Care Clinic/Center
- Minneapolis, MN
- NPI 1134228000
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
-
- Primary Care Clinic/Center
- Edina, MN
- NPI 1346432200
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Clinic/Center
- Saint Paul, MN
- NPI 1184670044
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1386028181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17590 HEMLOCK AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550443904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044518",
"telephone_number": "612-813-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "KRISTAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2025-03-08",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "078062",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "078000",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "9650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTAN",
"last_name": "SERSHEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.