Gregory Paul Rapp, PA-C
Individual provider Active NPI Medical Physician Assistant · Starbuck, MN
NPI 1760466908 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1760466908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 9237 (MN)
- Practice address
- 501 Poler St
Starbuck, MN 56381-2456 - Phone
- (320) 239-3939
- Fax
- (320) 239-2802
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stevens Community Medical Center Inc
Practice addresses (Care Compare)
400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313
501 Poler St
Starbuck, MN 56381-2456
Phone (320) 239-3939
Hospital & facility affiliations
- Vivie Home Health
- Stevens Community Medical Center Inc
- Alomere Health
- Glacial Ridge Hospital
- Minnewaska Community Health Services
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 |
|---|---|---|---|---|
| I20050210000543 | MN | Practitioner - Physician Assistant | 1951353663 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9237 | MN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevens Community Medical Center Inc | Current |
Accepting new patients | |
| Stevens Community Medical Center Inc | Current |
Accepting new patients | |
| Stevens Community Medical Center Inc. | Current |
Accepting new patients | |
| Lake Region Healthcare Corporation | Past |
Accepting new patients | |
| Affiliated Community Medical Centers, LTD | Past | Accepting new patients |
Locations
400 E 1st St
Morris, MN 56267
Phone (320) 589-1313
501 Poler St
Starbuck, MN 56381
Phone (320) 239-3939
Interoperability endpoints
- grapp421262@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9237 | MN | Yes |
Addresses
Primary practice location
501 Poler St
Starbuck, MN 56381-2456
Mailing address
501 Poler St
Starbuck, MN 56381-2456
Phone (218) 685-4461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126630600 | Medicaid | MN |
Other providers in Starbuck, MN
- Lindsay Majerus
- Minnewaska Area Schools #2149
- Minnewaska Home Care Inc
- Rhonda B Nietfeld-Sundermann
- Alicia Leah Oeltjen
- Brittany Roers
- Donald Allan Samuelson
- John Theodore Samuelson
- Nancy V Samuelson
- Ranae Marie Spore
All providers in Starbuck, 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 Oct 4, 2022. 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.