Individual provider Active NPI

Paige Holm, NP

  • Nurse Practitioner
  • Elk River, MN
National Provider Identifier
1730647728
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6470 Issued in MN
Practice address
19425 Evans St NW
Elk River, MN 55330-1074
Phone
(763) 389-7686
NPI assigned
Mar 8, 2019
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6470 MN Primary

Addresses

Primary practice location

19425 Evans St NW
Elk River, MN 55330-1074

Mailing address

1100 7TH Ave S
Princeton, MN 55371-4555
Phone (763) 389-7686

Other practice location 1

1100 7th Ave S
Princeton, MN 55371-4555
Phone (763) 389-7686

Other names 1

  • Paige Muenchow 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
I20190502000994 MN Practitioner - Nurse Practitioner 7315289873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732

18580 Joplin Ave
Lakeville, MN 55044-4218
Phone (952) 892-9555

1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone (651) 232-6800

1925 Woodwinds Dr
Woodbury, MN 55125-4445
Phone (651) 232-0100

2945 Hazelwood St
Suite 100
Maplewood, MN 55109-1242
Phone (651) 232-7800

3305 Central Park Village Dr
Eagan, MN 55121-7707
Phone (651) 406-8860

600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 881-2651

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
91.74
Promoting interoperability
100
Improvement activities
40
Cost
77.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Oct 14, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince May 10, 2019 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 10, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Oct 14, 2019 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 10, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
Fairview Clinics Past Accepting new patients
Fairview Express Care Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

19425 Evans St NW
Elk River, MN 55330
Phone (763) 389-7686

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

1100 7th Ave S
Princeton, MN 55371
Phone (763) 241-6803

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

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: pmuenchow342067@fairview.direct-ci.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1730647728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE S",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714555",
            "telephone_number": "763-389-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19425 EVANS ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301074",
            "telephone_number": "763-389-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "MN",
            "postal_code": "553714555",
            "country_code": "US",
            "telephone_number": "763-389-7686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLM",
        "first_name": "PAIGE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "6470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "MUENCHOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.