NPIMap

Individual provider Active NPI

Gregory Paul Rapp, PA-C

  • Medical Physician Assistant
  • Starbuck, MN
National Provider Identifier
1760466908
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9237 Issued in MN
Practice address
501 Poler St
Starbuck, MN 56381-2456
Phone
(320) 239-3939
Fax
(320) 239-2802
NPI assigned
Dec 1, 2005
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9237 MN Primary

Addresses

Primary practice location

501 Poler St
Starbuck, MN 56381-2456

Mailing address

501 Poler St
Starbuck, MN 56381-2456
Phone (218) 685-4461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000543 MN Practitioner - Physician Assistant 1951353663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9237MNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc CurrentSince Jan 13, 2026 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Mar 28, 2011 Accepting new patients
Stevens Community Medical Center Inc Past Accepting new patients
Lake Region Healthcare Corporation PastSince Sep 20, 2007 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

  • Direct secure messaging: grapp421262@direct.centracare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1760466908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 POLER ST",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563812456",
            "telephone_number": "218-685-4461",
            "fax_number": "218-685-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 POLER ST",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563812456",
            "telephone_number": "320-239-3939",
            "fax_number": "320-239-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPP",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starbuck, MN

Sources for this page

Verify at the official NPI Registry.