Individual provider Active NPI

Philip Joseph Gyura, DNP, FNP-BC

  • Family Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1679915706
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5139 Issued in MN
Practice address
700 Raymond Ave Ste 130
Saint Paul, MN 55114-1778
Phone
(612) 895-1510
Fax
(833) 979-0945
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-190688-6 MN
Registered Nurse 163W00000X 657718 NY
Family Nurse Practitioner 363LF0000X F338490-1 NY
Family Nurse Practitioner 363LF0000X 5139 MN Primary

Addresses

Primary practice location

700 Raymond Ave Ste 130
Saint Paul, MN 55114-1778

Mailing address

700 Raymond Ave Ste 130
Saint Paul, MN 55114-1778
Phone (612) 895-1510

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
I20170906000408 MN Practitioner - Nurse Practitioner 9537391818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Danielle Golden, Crna, PAGroup PAC ID 6305934597, 30 clinicians
Yourpath Care, PLLCGroup PAC ID 4486017050, 3 clinicians

Practice addresses (Care Compare)

3555 Willow Lake Blvd
Suite 290
Saint Paul, MN 55110-4465
Phone (952) 431-5330

700 Raymond Ave
Suite 130
Saint Paul, MN 55114-1778
Phone (612) 895-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-190688-6MNMDRegistered Nurse
657718NYMDRegistered Nurse
5139MNMDPhysical Therapist
F338490-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yourpath Care, PLLC CurrentSince Jul 18, 2023 Accepting new patients
Danielle Golden, Crna, PA CurrentSince Feb 1, 2026 Accepting new patients
Shlomit Levy Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients

Locations

700 Raymond Ave
Ste 130
Saint Paul, MN 55114
Phone (612) 895-1510

3555 Willow Lake Blvd
Ste 290
Vadnais Heights, MN 55110

3640 Talmage Cir
Ste 216
Vadnais Hts, MN 55110
Phone (651) 379-4006

Interoperability endpoints

  • Direct secure messaging: philip.gyura@uram.eclinicaldirectplus.com
  • Direct secure messaging: philip.gyura.1@22578.direct.athenahealth.com

Organizations & group practices 4

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1679915706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAYMOND AVE STE 130",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141778",
            "telephone_number": "612-895-1510",
            "fax_number": "833-979-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAYMOND AVE STE 130",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141778",
            "telephone_number": "612-895-1510",
            "fax_number": "833-979-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYURA",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-190688-6",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657718",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338490-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.