Individual provider Active NPI

Erin Mary Knudtson, MD

  • Pediatrics Physician
  • Hutchinson, MN
National Provider Identifier
1629232095
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
51384 Issued in MN
Practice address
3 Century Ave SE
Hutchinson, MN 55350-3108
Phone
(320) 587-2020
Fax
(320) 484-4686
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 51384 MN Primary

Addresses

Primary practice location

3 Century Ave SE
Hutchinson, MN 55350-3108

Mailing address

3 Century Ave SE
Hutchinson, MN 55350-3108
Phone (320) 587-2020

Other names 1

  • Ms. Erin Mary Endres Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000753 MN Practitioner - Pediatric Medicine 4688724305 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51384MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpartners RC CurrentSince May 17, 2022 Accepting new patients
Healthpartners RC CurrentSince May 17, 2022 Accepting new patients
Hutchinson Health CurrentSince Jan 1, 2013 Accepting new patients
Healthpartners RC Past Accepting new patients
Hutchinson Medical Center PA Past Accepting new patients

Locations

3 Century Ave SE
Hutchinson, MN 55350
Phone (320) 234-3290

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

Interoperability endpoints

  • Direct secure messaging: eknudtson33270@direct.healthpartners.com

Organizations & group practices 5

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1629232095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTURY AVE SE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503108",
            "telephone_number": "320-587-2020",
            "fax_number": "320-484-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTURY AVE SE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503108",
            "telephone_number": "320-587-2020",
            "fax_number": "320-484-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDTSON",
        "first_name": "ERIN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "51384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "ENDRES",
            "middle_name": "MARY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hutchinson, MN

Sources for this page

Verify at the official NPI Registry.