Christian Dane Adams
Individual provider Active NPI Medical Physician Assistant · Waconia, MN
NPI 1760115232 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1760115232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 14952 (MN)
- Practice address
- 560 S Maple St Ste 30
Waconia, MN 55387-1759 - Phone
- (952) 442-1774
- NPI assigned
- Jul 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ridgeview Medical Center
Practice addresses (Care Compare)
560 S Maple St
Waconia, MN 55387-1759
7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570
916 Saint Peter Ave E
Delano, MN 55328-2813
Phone (952) 442-7800
Hospital & facility affiliations
- Ridgeview Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241025002469 | MN | Practitioner - Physician Assistant | 1759814924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Medical Center | Current |
Accepting new patients | |
| Ridgeview Medical Center | Current |
Accepting new patients |
Locations
165 W Commerce Dr
Belle Plaine, MN 56011
Phone (952) 777-5661
7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570
916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
560 S Maple St
Ste 30
Waconia, MN 55387
Phone (952) 442-6525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 14952 | MN | Yes |
Addresses
Primary practice location
560 S Maple St Ste 30
Waconia, MN 55387-1759
Mailing address
10005 Greenbrier Rd Apt 222
Hopkins, MN 55305-3415
Phone (701) 866-7050
Other providers in Waconia, MN
- 500 Cherry Street Opco LLC
- Hayley Anne Accola
- Ace Resource Center, Inc.
- Patricia Mullin Ahrens
- Andrew Akhaphong
- Razan Alsibai
- Alexandra Baker Anderson
- Karen Sugimoto Anderson
All providers in Waconia, MN · Medical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 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.