Active NPI
Margaret Mae Fellenz, PA-C
- Physician Assistant
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2090 Woodwinds Dr
Woodbury, MN 55125-2522 - Phone
- (651) 968-5201
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MN | Primary |
Addresses
Primary practice location
2090 Woodwinds Dr
Woodbury, MN 55125-2522
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone (651) 968-5201
2090 Woodwinds Dr
Saint Paul, MN 55125-2522
Phone (651) 968-5201
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
6050 Sycamore LN N
Plymouth, MN 55442-1402
Phone (651) 968-5201
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14177 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients |
Locations
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
Interoperability endpoints
- margaretfellenz@sol.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Woodbury, MN
- NPI 1306899463
-
- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
-
- Clinic/Center
- Woodbury, MN
- NPI 1558870196
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1508593443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 WOODWINDS DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252522",
"telephone_number": "651-968-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLENZ",
"first_name": "MARGARET",
"middle_name": "MAE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.