Individual provider Active NPI

Lindsay Lee Maloney, PA

  • Physician Assistant
  • Plymouth, MN
National Provider Identifier
1528955952
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15442 Issued in MN
Practice address
15655 37TH Ave N Ste 100
Plymouth, MN 55446-4003
Phone
(612) 293-7822
Fax
(612) 230-8769
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15442 MN Primary

Addresses

Primary practice location

15655 37TH Ave N Ste 100
Plymouth, MN 55446-4003

Mailing address

15708 Alpine Cir
Burnsville, MN 55306-5484
Phone (952) 303-2627

Other practice location 1

50 Central Ave
Osseo, MN 55369-1241
Phone (612) 293-7822

Other practice location 2

9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768
Phone (612) 293-7822

Other practice location 3

5109 36th Ave N
Crystal, MN 55422-2007
Phone (612) 293-7822

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
I20250818001940 MN Practitioner - Physician Assistant 3072012921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mittal Dermatology, PAGroup PAC ID 5193194728, 5 clinicians

Practice addresses (Care Compare)

15655 37TH Ave N
Suite 100
Plymouth, MN 55446-4003
Phone (630) 632-2648

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15442MNMDPhysician 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1528955952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 ALPINE CIR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065484",
            "telephone_number": "952-303-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 37TH AVE N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464003",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Osseo",
            "state": "MN",
            "postal_code": "553691241",
            "country_code": "US",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9825 Hospital Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694768",
            "country_code": "US",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5109 36th Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554222007",
            "country_code": "US",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "LINDSAY",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.