Active NPI
Kenneth E Joslyn, M.D.
- Family Medicine Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47012
- Practice address
- 6600 Excelsior Blvd
Ste 160
St Louis Park, MN 55426-4744 - Phone
- (952) 993-7700
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 47012 | MN | Primary |
Addresses
Primary practice location
6600 Excelsior Blvd
Ste 160
St Louis Park, MN 55426-4744
Mailing address
6465 Wayzata Blvd
Ste 315
St Louis Park, MN 55426-1728
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Rochester School of Medicine and Dentistry, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2810 Nicollet Ave
Minneapolis, MN 55408-4708
Phone (612) 873-6963
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Hospital & facility affiliations
- Hennepin County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47012 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Park Nicollet Methodist Hospital | Current | Accepting new patients | |
| Park Nicollet Clinic | Family Medicine | Current | Accepting new patients |
| Park Nicollet Clinic | Family Medicine | Current | Accepting new patients |
| Hennepin Faculty Associates | Past | Accepting new patients |
Locations
2810 Nicollet Ave
Minneapolis, MN 55408
Phone (612) 545-9000
701 Park Ave
#350
Minneapolis, MN 55415
Phone (612) 873-5334
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
6600 Excelsior Blvd
Ste 160
St Louis Park, MN 55426
Phone (952) 993-7700
Organizations & group practices 7
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.
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
- General Practice Physician
- Minneapolis, MN
- NPI 1063459485
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730290701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 WAYZATA BLVD",
"address_2": "STE 315",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 EXCELSIOR BLVD",
"address_2": "STE 160",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264744",
"telephone_number": "952-993-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSLYN",
"first_name": "KENNETH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "47012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.