Individual provider Active NPI

Erin Flynn, DO

  • Pediatric Critical Care Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1447525514
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
63943 Issued in MN
Practice address
2530 Chicago Ave Ste 400
Minneapolis, MN 55404
Phone
(612) 813-3300
Fax
(612) 813-3349
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 63738 WI
Pediatric Critical Care Medicine Physician 2080P0203X 63943 MN Primary

Addresses

Primary practice location

2530 Chicago Ave Ste 400
Minneapolis, MN 55404

Mailing address

2530 Chicago Ave Ste 400
Minneapolis, MN 55404-4387
Phone (612) 813-3300

Other practice location 1

4700 Waters Ave
Department of Pediatric Education
Savannah, GA 31404-6220
Phone (912) 350-8193

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
I20180718000039 MN Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 9830489541 Reassigns benefits to 1 organization
I20240910001241 WI Practitioner - Pediatric Medicine 9830489541 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center Inc CurrentSince Sep 4, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Children'S Respiratory & Critical Care Specialists. P.a. CurrentSince Aug 1, 2018 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 4, 2024 Accepting new patients
Gillette Children'S Specialty Healthcare CurrentSince Aug 1, 2018 Accepting new patients
Gillette Children'S Specialty Healthcare CurrentSince Aug 1, 2018 Accepting new patients
Gillette Children'S Specialty Healthcare PastSince Aug 1, 2018 Accepting new patients

Locations

2530 Chicago Ave
Ste 400
Minneapolis, MN 55404
Phone (612) 813-3300

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

200 University Ave E
Rm 10607
Saint Paul, MN 55101

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • Direct secure messaging: eflynn1003001@direct.emplifyhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1447525514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044387",
            "telephone_number": "612-813-3300",
            "fax_number": "612-813-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-813-3300",
            "fax_number": "612-813-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_2": "Department of Pediatric Education",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-8193",
            "fax_number": "912-350-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ERIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WI",
            "license": "63738",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MN",
            "license": "63943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.