Individual provider Active NPI

Rachel Lynn Stevens, PA-C

  • Medical Physician Assistant
  • Plymouth, MN
National Provider Identifier
1699001180
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2 Carlson Pkwy N Ste 100
Plymouth, MN 55447-4467
Phone
(952) 473-1286
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10663 MN
Surgical Physician Assistant 363AS0400X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2 Carlson Pkwy N Ste 100
Plymouth, MN 55447-4467

Mailing address

2 Carlson Pkwy N Ste 240
Plymouth, MN 55447-4485
Phone (763) 367-7110

Other practice location 1

4100 W 50th St
Edina, MN 55424-1200
Phone (952) 929-8888

Other names 1

  • Rachel Lynn Meyer 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000584 MN Practitioner - Physician Assistant 2466590252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Skin Specialists LTDGroup PAC ID 0446558993, 15 clinicians

Practice addresses (Care Compare)

2 Carlson Pkwy N
Suite 100
Plymouth, MN 55447-4467
Phone (952) 473-1286

6425 Nicollet Ave
Suite 202
Richfield, MN 55423-1668
Phone (612) 869-2086

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10663MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Dermatology Specialists. LTD Dermatology Current Accepting new patients
Central Minnesota Neurosciences LTD Past Accepting new patients

Locations

6425 Nicollet Ave
Ste 202
Richfield, MN 55423
Phone (612) 338-0711

Interoperability endpoints

  • Direct secure messaging: rachel.stevens@uss.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1699001180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARLSON PKWY N STE 240",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474485",
            "telephone_number": "763-367-7110",
            "fax_number": "763-317-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARLSON PKWY N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474467",
            "telephone_number": "952-473-1286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 W 50th St",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554241200",
            "country_code": "US",
            "telephone_number": "952-929-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "10663",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MEYER",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.