Active NPI
Austin D Redepenning, PA-C
- Physician Assistant
- Robbinsdale, MN
National Provider Identifier
1700414273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13757
- Practice address
- 3366 Oakdale Ave N Ste 103
Robbinsdale, MN 55422-2961 - Phone
- (763) 520-7870
- Fax
- (763) 520-7580
- NPI assigned
- Mar 31, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13757 | MN | Primary |
Addresses
Primary practice location
3366 Oakdale Ave N Ste 103
Robbinsdale, MN 55422-2961
Mailing address
3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.38 of 100
- Quality
- 99.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| University of Wisconsin - la Crosse | Past | Accepting new patients |
Interoperability endpoints
- aredepenning1222436@ehrdirect.mayoclinicmsg.org
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- La Crosse, WI
- NPI 1386368041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1700414273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 AMERICAN BLVD W STE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314442",
"telephone_number": "952-512-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3366 OAKDALE AVE N STE 103",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222961",
"telephone_number": "763-520-7870",
"fax_number": "763-520-7580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDEPENNING",
"first_name": "AUSTIN",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.