Individual provider Active NPI

Sarah Anne Bolstad, PAC

  • Medical Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1558323352
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9617 Issued in MN
Practice address
920 E 28TH St Ste 700
Minneapolis, MN 55407-1163
Phone
(952) 567-7400
Fax
(952) 852-2356
NPI assigned
Apr 5, 2006
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 9617 MN Primary

Addresses

Primary practice location

920 E 28TH St Ste 700
Minneapolis, MN 55407-1163

Mailing address

920 E 28TH St Ste 700
Minneapolis, MN 55407-1163
Phone (952) 567-7400

Other practice location 1

3800 Coon Rapids Blvd NW Ste 3800
Coon Rapids, MN 55433-2517
Phone (763) 452-3955

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sarah.bolstad.p1@direct.mlcmsi.nextgenshare.com
Direct Messaging Address sarah.bolstad.nss@direct.mlcmsi.nextgenshare.com

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
I20071009000223 MN Practitioner - Physician Assistant 7719072552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

3800 Coon Rapids Blvd NW
Suite 3800 and 3824
Coon Rapids, MN 55433-2517
Phone (612) 262-7100

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

7450 France Ave S
Suite 210
Edina, MN 55435-4784
Phone (612) 262-7100

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9617MNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jul 1, 2024 Accepting new patients
Allina Health System CurrentSince Jul 1, 2024 Accepting new patients
NPI 1083910871 Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

7450 France Ave S
Ste 210
Edina, MN 55435
Phone (763) 420-1010

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

920 E 28th St
Ste 700
Minneapolis, MN 55407
Phone (612) 863-9062

Interoperability endpoints

  • Direct secure messaging: sbolstad157092@excellian.direct.allina.com

Organizations & group practices 6

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1558323352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 28TH ST STE 700",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071163",
            "telephone_number": "952-567-7400",
            "fax_number": "952-852-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 28TH ST STE 700",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071163",
            "telephone_number": "952-567-7400",
            "fax_number": "952-852-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Coon Rapids Blvd NW Ste 3800",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332517",
            "country_code": "US",
            "telephone_number": "763-452-3955",
            "fax_number": "952-852-2356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLSTAD",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.bolstad.p1@direct.mlcmsi.nextgenshare.com",
            "affiliation": "N",
            "address_1": "920 E 28th St Ste 700",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554071163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.bolstad.nss@direct.mlcmsi.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3800 Coon Rapids Blvd NW Ste 3800",
            "city": "Coon Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554332517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.