Individual provider Active NPI

Lauren Nievinski, PA-C

  • Psychiatry Physician
  • Oak Park Heights, MN
National Provider Identifier
1477027753
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12894 Issued in MN
Practice address
5995 Oren Ave N Ste 203
Oak Park Heights, MN 55082-6379
Phone
(651) 217-1480
Fax
(833) 972-5926
NPI assigned
Jan 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12894 MN Primary

Addresses

Primary practice location

5995 Oren Ave N Ste 203
Oak Park Heights, MN 55082-6379

Mailing address

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone (651) 628-9566

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
I20190307000998 MN Practitioner - Physician Assistant 4183963259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vantage Mental Health 29 clinicians

Practice addresses (Care Compare)

5995 Oren Ave N
Suite 203
Oak Park Heights, MN 55082-6379
Phone (651) 217-1480

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psychiatric Services LLC Psychiatry CurrentSince Jun 8, 2025 Accepting new patients

Locations

5995 Oren Ave N
Ste 203
Stillwater, MN 55082
Phone (651) 217-1480

Interoperability endpoints

  • Direct secure messaging: lauren.nievinski.1@31533.direct.athenahealth.com

Organizations & group practices 2

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": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1477027753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121786",
            "telephone_number": "651-628-9566",
            "fax_number": "651-628-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 OREN AVE N STE 203",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550826379",
            "telephone_number": "651-217-1480",
            "fax_number": "833-972-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVINSKI",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "12894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park Heights, MN

Sources for this page

Verify at the official NPI Registry.