Individual provider Active NPI

Andrew Macgregor, PA-C

  • Physician Assistant
  • Fargo, ND
National Provider Identifier
1639679624
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0712 Issued in ND
Practice address
2301 25TH St S
Fargo, ND 58103-6104
Phone
(701) 417-6000
NPI assigned
Feb 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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 PAC0712 ND Primary

Addresses

Primary practice location

2301 25TH St S
Fargo, ND 58103-6104

Mailing address

5995 58TH St S
Fargo, ND 58104-5725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230622002324 SD Practitioner - Physician Assistant 5597027136 Reassigns benefits to 1 organization
I20230626002464 MN Practitioner - Physician Assistant 5597027136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Institute PCGroup PAC ID 1254223894, 57 clinicians

Practice addresses (Care Compare)

1101 Broadway Ave
Yankton, SD 57078-2835
Phone (605) 331-5890

1300 S Burr St
Mitchell, SD 57301-4551
Phone (605) 331-5890

2120 Live Stronger St
Tea, SD 57064-8331
Phone (605) 331-5890

810 E 23Rd St
Sioux Falls, SD 57105-2135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.01 of 100Reported as group
Quality
78.63
Promoting interoperability
100
Improvement activities
40
Cost
64.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1444SDMDChiropractor

Interoperability endpoints

  • Direct secure messaging: andrew.macgregor.1@21545.direct.athenahealth.com

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1639679624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 58TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-417-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGREGOR",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.