Individual provider Active NPI

Gabrielle Kennedy Henshue, PA-C

  • Physician Assistant
  • Maplewood, MN
National Provider Identifier
1407589997
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14511 Issued in MN
Practice address
1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190
Phone
(651) 326-4327
NPI assigned
Jul 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14511 MN Primary

Addresses

Primary practice location

1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190

Mailing address

1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190
Phone (608) 443-6421

Other practice location 1

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000

Other practice location 2

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000

Other practice location 3

15 Boothbay Cir
Madison, WI 53717-2211
Phone (608) 443-6421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628003598 MN Practitioner - Physician Assistant 5294194908 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

1600 Saint Johns Blvd
Suite 200
Maplewood, MN 55109-1190
Phone (651) 326-2328

1700 University Ave W
Saint Paul, MN 55104-3727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14511MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System Inc CurrentSince Aug 1, 2023 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jun 1, 2023 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Aug 1, 2023 Accepting new patients
University of Minnesota Pediatric Dental Clinic CurrentSince Aug 1, 2023 Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

6405 France Ave S
Ste W200
Minneapolis, MN 55435
Phone (952) 836-3700

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

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

1600 Saint Johns Blvd
Ste 200
Saint Paul, MN 55109
Phone (651) 326-4327

Interoperability endpoints

  • Direct secure messaging: ghenshue795088@fairview.direct-ci.com

Organizations & group practices 15

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 15

Hospital & facility affiliations 1

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": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1407589997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SAINT JOHNS BLVD STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091190",
            "telephone_number": "608-443-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT JOHNS BLVD STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091190",
            "telephone_number": "651-326-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 France Ave S",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352104",
            "country_code": "US",
            "telephone_number": "952-924-5000",
            "fax_number": "952-924-5382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Boothbay Cir",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537172211",
            "country_code": "US",
            "telephone_number": "608-443-6421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSHUE",
        "first_name": "GABRIELLE",
        "middle_name": "KENNEDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.