NPIMap

Individual provider Active NPI

Lori Ann Pinke, MD

  • Urology Physician
  • Sartell, MN
National Provider Identifier
1427022425
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
41403 Issued in MN
Practice address
2351 Connecticut Ave S
Suite 200
Sartell, MN 56377-2477
Phone
(320) 259-1411
Fax
(320) 259-8967
NPI assigned
Feb 15, 2006
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 29649 AZ
Urology Physician 208800000X 41403 MN Primary

Addresses

Primary practice location

2351 Connecticut Ave S
Suite 200
Sartell, MN 56377-2477

Mailing address

2351 Connecticut Ave S
Suite 200
Sartell, MN 56377-2477
Phone (320) 259-1411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpinke21083@direct.centracare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000863 MN Practitioner - Urology 6709872526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

2351 Connecticut Ave S
Suite 200
Sartell, MN 56377-2477
Phone (320) 259-1411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic CurrentSince Jan 1, 2015 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2015 Accepting new patients
St. Cloud Hospital Past Accepting new patients
Mayo Clinic Past Accepting new patients
Adult & Pediatric Urology Urology PastSince Jul 1, 2013 Accepting new patients
Mayo Clinic Past Accepting new patients
Urology Associates, LTD Urology Past Accepting new patients

Locations

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

2351 Connecticut Ave S
Ste 200
Sartell, MN 56377
Phone (320) 203-6906

4 Deerwood Ave NW
Wadena, MN 56482
Phone (218) 631-1100

Interoperability endpoints

  • Direct secure messaging: lpinke21083@direct.centracare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1427022425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CONNECTICUT AVE S",
            "address_2": "SUITE 200",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772477",
            "telephone_number": "320-259-1411",
            "fax_number": "320-259-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 CONNECTICUT AVE S",
            "address_2": "SUITE 200",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772477",
            "telephone_number": "320-259-1411",
            "fax_number": "320-259-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKE",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "29649",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "41403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpinke21083@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lpinke21083@direct.centracare.com",
            "address_1": "2351 Connecticut Ave S",
            "address_2": "Suite 200",
            "city": "Sartell",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563772477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.