Individual provider Active NPI

Benjamin Aaron Willenbring, M.D.

  • Emergency Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1407140403
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
59285 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 64282-20 WI
Emergency Medicine Physician 207P00000X 198856 PA
Emergency Medicine Physician 207P00000X 59285 MN Primary

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

PO Box 1309
Mail Stop 21110Q
Minneapolis, MN 55440-1309
Phone (952) 883-7469

Other practice location 1

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

Other practice location 2

927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 439-5330

Other practice location 3

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

Other practice location 4

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150723006994 MN Practitioner - Emergency MedicinePractitioner - Medical Toxicology 4486876653 Reassigns benefits to 3 organizations
I20150730013879 WI Practitioner - Emergency Medicine 4486876653 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Medical Toxicology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regions HospitalGroup PAC ID 3173436755, 215 clinicians

Practice addresses (Care Compare)

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59285MNMDEmergency Medicine Physician
198856PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince Dec 31, 2025 Accepting new patients
St. Croix Regional Medical Center CurrentSince Oct 1, 2015 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Group Health, Inc. CurrentSince Jan 27, 2023 Accepting new patients
St. Croix Regional Medical Center CurrentSince Oct 1, 2015 Accepting new patients
Regions Hospital Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Sep 21, 2015 Accepting new patients
Hudson Hospital, Inc. CurrentSince Sep 14, 2015 Accepting new patients
Group Health, Inc. CurrentSince Jan 27, 2023 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Jan 1, 2016 Accepting new patients
Westfields Hospital, Inc. CurrentSince Sep 14, 2015 Accepting new patients
Westfields Hospital, Inc CurrentSince Sep 14, 2015 Accepting new patients
Amery Regional Medical Center, Inc. Current Accepting new patients
Regions Hospital CurrentSince Sep 1, 2016 Accepting new patients
Lakeview Memorial Hospital Association Inc. Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Sep 21, 2015 Accepting new patients
Hudson Hospital, Inc. CurrentSince Sep 14, 2015 Accepting new patients
Hudson Hospital, Inc Past Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

15350 English Ave
Apple Valley, MN 55124
Phone (952) 431-8500

8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775

205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

1500 Curve Crest Blvd W
Stillwater, MN 55082

921 Greeley St S
West Lakeland, MN 55082

8450 Seasons Pkwy
Woodbury, MN 55125
Phone (651) 702-5300

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

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

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

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.

View all 19

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1407140403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "address_2": "MAIL STOP 21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554401309",
            "telephone_number": "952-883-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6000",
            "fax_number": "715-531-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Churchill St W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826605",
            "country_code": "US",
            "telephone_number": "651-439-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Griffin St E",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540011439",
            "country_code": "US",
            "telephone_number": "715-268-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLENBRING",
        "first_name": "BENJAMIN",
        "middle_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "64282-20",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "198856",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "59285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.