NPIMap

Organization Active NPI

Emergency Physicians Professional Association

  • Urgent Care Clinic/Center
  • Eagan, MN
National Provider Identifier
1407102882
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION
Practice address
3010 Denmark Avenue
Eagan, MN 55121
Phone
(651) 789-9900
Fax
(952) 835-4403
NPI assigned
Aug 3, 2012
Last updated
Mar 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
EMERGENCY PHYSICIANS PROFESSIONALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Ms. Kristi Rennich
Title
Director, Finance
Phone
(952) 857-1501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Urgent Care Clinic/Center 261QU0200X MN Primary

Addresses

Primary practice location

3010 Denmark Avenue
Eagan, MN 55121

Mailing address

4300 Marketpointe Drive
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880

Other identifiers 1

IdentifierTypeStateIssuer
7350369MedicaidMN

Other names 1

  • The Urgency Room - Eagan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000068 MN Part B Supplier - Clinic/Group Practice 9537072657 Receives reassigned benefits from 407 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monticello, MN; Woodbury, MN; Willmar, MN; Vadnais Heights, MN; St Louis Park, MN; Saint Cloud, MN; Robbinsdale, MN; Olivia, MN…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2046714The Urgency Room3010 Denmark Ave, Eagan, MN 55121AccreditationJul 30, 2027

National Provider Directory

National Provider Directory
Part of
Emergency Physicians Professional Association

Locations

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1407102882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARKETPOINTE DRIVE",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355435",
            "telephone_number": "952-835-9880",
            "fax_number": "952-857-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 DENMARK AVENUE",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-789-9900",
            "fax_number": "952-835-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERGENCY PHYSICIANS PROFESSIONAL",
        "enumeration_date": "2012-08-03",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "RENNICH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "952-857-1501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7350369",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Urgency Room - Eagan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Urgency Room - Eagan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.