Crystal Redman, D.O.
Individual provider Active NPI Family Medicine Physician · Roseville, MN
NPI 1740600253 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1740600253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 78219 (MN)
- Practice address
- 2831 Snelling Ave N
Roseville, MN 55113-1712 - Phone
- (651) 765-5900
- Fax
- (651) 765-5901
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Group Health Inc
Practice addresses (Care Compare)
2831 Snelling N Ave
Roseville, MN 55113-2460
Phone (651) 636-4525
Hospital & facility affiliations
- Regions Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170103001486 | MO | Practitioner - Family Practice | 4587945647 | Reassigns benefits to 4 organizations |
| I20241226002062 | MN | Practitioner - Family Practice | 4587945647 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78219 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Missouri Health Council, Inc. | Family Medicine | Current |
Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Family Medicine | Current |
Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Northeast Missouri Health Council, Inc. | Current |
Accepting new patients | |
| Northeast Missouri Health Council Inc | Current |
Accepting new patients | |
| Northeast Missouri Health Council, Inc. | Family Medicine | Current | Accepting new patients |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Kirksville Missouri Hospital Company LLC | Past | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
2831 Snelling Ave N
Saint Paul, MN 55113
Phone (651) 636-4525
104 E Jackson St
Edina, MO 63537
Phone (660) 397-3517
1416 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
1506 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
402 W Jefferson St
Kirksville, MO 63501
Phone (660) 665-2741
800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235
450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828
450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828
Interoperability endpoints
- crystal.redman.p1@direct.nmhcinc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 78219 | MN | Yes |
Addresses
Primary practice location
2831 Snelling Ave N
Roseville, MN 55113-1712
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other providers in Roseville, MN
- RBF LLC
- Rebecca Goffman, Psy.D., LP, LLC
- Red Clover Clinic Inc
- Anne M Reddy
- Jacob Reding
- Jenna Mae Reed
- Rachelle Elizabeth Reedstrom
- Aayushma Regmi
- Abby Rehberger
- Brandi Reilly
All providers in Roseville, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.