Bryan Bader, APRN
Individual provider Active NPI Nurse Practitioner · Saint Paul, MN
NPI 1407236292 · NPPES record last updated Sep 22, 2023
Key facts
- NPI
- 1407236292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 7451 (MN)
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-1669
- NPI assigned
- Jun 5, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Group Health Inc
Practice addresses (Care Compare)
11850 Blackfoot St NW
Suite 130
Coon Rapids, MN 55433-2583
Phone (763) 236-9000
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-7130
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456
Hospital & facility affiliations
- Regions Hospital
- Mercy Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200807000921 | MN | Practitioner - Nurse Practitioner | 6507172004 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7451 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| University of South Alabama Health Services Foundation | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
11850 Blackfoot St NW
Ste 130
Minneapolis, MN 55433
Phone (763) 236-2045
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7451 | MN | Yes |
| Family Nurse Practitioner | 363LF0000X | 7451 | MN |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
8170 33Rd Ave S
Bloomington, MN 55425-4516
Phone (651) 254-1669
Other practice location 1
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbader625129@excellian.direct.allina.com | Direct |
Other providers in Saint Paul, MN
- Annie-Louise Backman
- Maria Backstrom
- David Backus
- Eric Bacon
- Christopher Bade
- Tracey Lynn Baehler
- Brooke Krista Baeth
- Nathan Douglas Baggett
- Peyton Baggott
- Fatmata Binta Bah
All providers in Saint Paul, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.