Individual provider Active NPI

Denise L. Barnhardt, P.A.

  • Medical Physician Assistant
  • Edina, MN
National Provider Identifier
1508898917
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9462 Issued in MN
Practice address
6525 Barrie Rd
Edina, MN 55435-2305
Phone
(952) 915-6000
Fax
(952) 915-6100
NPI assigned
Jul 7, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9462 MN Primary

Addresses

Primary practice location

6525 Barrie Rd
Edina, MN 55435-2305

Mailing address

6525 Barrie Rd
Edina, MN 55435-2305
Phone (952) 915-6000

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
I20040205001111 MN Practitioner - Physician Assistant 4587557285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Cosmetic Institute PAGroup PAC ID 4880659358, 3 clinicians

Practice addresses (Care Compare)

24 E Main St
Apt 1
Waconia, MN 55387-1160
Phone (952) 915-6000

6525 Barrie Rd
Edina, MN 55435-2305
Phone (952) 915-6000

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1508898917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 BARRIE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352305",
            "telephone_number": "952-915-6000",
            "fax_number": "952-915-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 BARRIE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352305",
            "telephone_number": "952-915-6000",
            "fax_number": "952-915-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNHARDT",
        "first_name": "DENISE",
        "middle_name": "L.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.