Individual provider Active NPI

Blaine A Minton, DO

  • Psychiatry Physician
  • Rochester, MN
National Provider Identifier
1700224250
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
58635 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Jun 6, 2013
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 58635 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

659 Bielenberg Dr
Woodbury, MN 55125-1706
Phone (516) 259-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address messagec@direct.schrc.com South Central Human Relations Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150112000450 MN Practitioner - Psychiatry 4385885854 Reassigns benefits to 1 organization
Practice locations: Edina, MN; Lake Elmo, MN
I20221221002411 IL Practitioner - Psychiatry 4385885854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rosecrance IncGroup PAC ID 3779656582, 33 clinicians

Practice addresses (Care Compare)

1601 N University Dr
Rockford, IL 61107-5317
Phone (815) 387-2500

1631 S Galena Ave
Freeport, IL 61032-2517
Phone (815) 391-1000

2704 N Main St
Rockford, IL 61103-3112
Phone (815) 332-8003

4900 38TH Ave
Suite 5
Moline, IL 61265-6707
Phone (815) 387-5623

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58635MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrance Inc Current Accepting new patients
Fairview Health Services Current Accepting new patients
Aspen Counseling & Consulting LLC CurrentSince Oct 24, 2025 Accepting new patients
Aspen Counseling and Consulting LLC CurrentSince Oct 24, 2025 Accepting new patients
Rosecrance Inc CurrentSince Dec 1, 2022 Accepting new patients
Rosecrance Inc CurrentSince Dec 1, 2022 Accepting new patients
Fairview Health Services CurrentSince Mar 5, 2018 Accepting new patients
Prairiecare LLC Psychiatry PastSince Sep 20, 2020 Accepting new patients

Locations

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

8616 Northern Ave
Rockford, IL 61107
Phone (815) 332-8003

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1700224250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 BIELENBERG DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251706",
            "telephone_number": "516-259-9700",
            "fax_number": "651-259-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "BLAINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "58635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "messagec@direct.schrc.com",
            "affiliation": "Y",
            "affiliationName": "South Central Human Relations Center",
            "address_1": "610 Florence Ave",
            "city": "Owatonna",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550604704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.