Individual provider Active NPI

Lauren Torkilsen Hennessy, PA-C

  • Physician Assistant
  • Prior Lake, MN
National Provider Identifier
1750682589
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10856 Issued in MN
Practice address
4151 Willowwood St SE
Prior Lake, MN 55372-4304
Phone
(952) 226-2600
NPI assigned
Nov 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10856 MN
Physician Assistant 363A00000X 10856 MN Primary

Addresses

Primary practice location

4151 Willowwood St SE
Prior Lake, MN 55372-4304

Mailing address

6236 Mallory LN
Eden Prairie, MN 55346-1423
Phone (763) 438-1709

Other names 1

  • Lauren Elizabeth Torkilsen 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
I20110330000890 MN Practitioner - Physician Assistant 2567645443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
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

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

303 E Nicollet Blvd
Suite 200
Burnsville, MN 55337-4834
Phone (952) 460-4000

4151 Willowwood St SE
Prior Lake, MN 55372-4304
Phone (952) 226-2600

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2011 Accepting new patients
Fairview Health Services CurrentSince Jan 1, 2011 Accepting new patients
Fairview Health Services CurrentSince Jan 1, 2011 Accepting new patients
Fairview Clinics CurrentSince Feb 1, 2011 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2011 Accepting new patients
Fairview Clinics CurrentSince Feb 1, 2011 Accepting new patients
Fairview Clinics Past Accepting new patients

Locations

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

18580 Joplin Ave
Lakeville, MN 55044
Phone (952) 892-9500

400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

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

919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344

4151 Willowwood St SE
Prior Lake, MN 55372
Phone (952) 226-2600

23671 Saint Francis Blvd NW
Saint Francis, MN 55070
Phone (763) 213-0615

Interoperability endpoints

  • Direct secure messaging: lhennessy187347@fairview.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1750682589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 MALLORY LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553461423",
            "telephone_number": "763-438-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 WILLOWWOOD ST SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724304",
            "telephone_number": "952-226-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "LAUREN",
        "middle_name": "TORKILSEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10856",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "10856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "TORKILSEN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prior Lake, MN

Sources for this page

Verify at the official NPI Registry.