Active NPI
Kara S Montminy, PA
- Medical Physician Assistant
- Blaine, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10700
- Practice address
- 4181 108TH Ave NE
Blaine, MN 55449 - Phone
- (763) 581-2273
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9104763 | FL | |
| Medical Physician Assistant | 363AM0700X | 10700 | MN | Primary |
Addresses
Primary practice location
4181 108TH Ave NE
Blaine, MN 55449
Mailing address
PO Box 7724
Wesley Chapel, FL 33545-0113
Phone (813) 425-5826
Other practice location 1
3717 Turman Loop
Suite # 101
Wesley Chapel, FL 33544-7794
Phone (813) 425-5826
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10700 | Other | MN | LICENSE |
| PA 9104763 | Other | FL | FL STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmontminy140377@excellian.direct.allina.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400
4181 108TH Ave NE
Blaine, MN 55449-7439
Phone (651) 430-3800
800 Freeport Ave NW
Elk River, MN 55330-2723
Phone (763) 581-2273
9855 Hospital Dr
Maple Grove, MN 55369-4648
9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10700 | MN | MD | Physical Therapist |
| PA 9104763 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| Manish Sharma DO PLLC | Past | Accepting new patients |
Locations
4181 108th Ave NE
Blaine, MN 55449
Phone (763) 581-0555
9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
Interoperability endpoints
- kmontminy140377@excellian.direct.allina.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
-
- Hospitalist Physician
- Wesley Chapel, FL
- NPI 1013187939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1659516847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7724",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335450113",
"telephone_number": "813-425-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4181 108TH AVE NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "55449",
"telephone_number": "763-581-2273"
}
],
"practiceLocations": [
{
"address_1": "3717 Turman Loop",
"address_2": "SUITE # 101",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "FL",
"postal_code": "335447794",
"country_code": "US",
"telephone_number": "813-425-5826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTMINY",
"first_name": "KARA",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9104763",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": "10700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "10700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL STATE LICENSE",
"identifier": "PA 9104763",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmontminy140377@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2855 Campus Dr",
"city": "Plymouth",
"state": "MN",
"country_code": "US",
"postal_code": "554412649",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.