Active NPI
Blaine A Minton, DO
- Psychiatry Physician
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 58635
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Jun 6, 2013
- Last updated
- Oct 13, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58635 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Aspen Counseling & Consulting LLC | Current | Accepting new patients | |
| Aspen Counseling and Consulting LLC | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Prairiecare LLC | Psychiatry | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
-
- Community/Behavioral Health Agency
- Rockford, IL
- NPI 1326288994
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1407287394
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Champaign, IL
- NPI 1437507811
-
dba Rosecrance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.