Individual provider Active NPI

Maureen Ann McDonald, MD

  • Obstetrics & Gynecology Physician
  • Maple Grove, MN
National Provider Identifier
1760771398
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
59753 Issued in MN
Practice address
9855 Hospital Dr Ste 275
Maple Grove, MN 55369-4778
Phone
(952) 993-3282
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 59753 MN Primary

Addresses

Primary practice location

9855 Hospital Dr Ste 275
Maple Grove, MN 55369-4778

Mailing address

9855 Hospital Dr Ste 275
Maple Grove, MN 55369-4778
Phone (952) 993-3282

Other practice location 1

2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 600-3035

Other practice location 2

111 Colchester Ave
Smith 415 Mailstop 251SM4Amy Bourgeois Fletcher Allen H
Burlington, VT 05401
Phone (802) 847-2700

Other practice location 3

2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 600-3035

Other practice location 4

1687 Woodlane Dr Ste 101
Woodbury, MN 55125-3046
Phone (651) 209-8125

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820012086 MN Practitioner - Obstetrics/Gynecology 5395050256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

9855 Hospital Dr
Maple Grove, MN 55369-4648
Phone (952) 993-4913

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59753MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care CurrentSince Nov 1, 2024 Accepting new patients
Park Nicollet Clinic Obstetrics & Gynecology CurrentSince Oct 21, 2019 Accepting new patients
North Memorial Health Care Current Accepting new patients
Park Nicollet Clinic Obstetrics & Gynecology CurrentSince Oct 21, 2019 Accepting new patients
North Memorial Health Care CurrentSince Nov 1, 2024 Accepting new patients
Maple Grove Hospital Corporation Past Accepting new patients

Locations

9855 Hospital Dr
Ste 275
Maple Grove, MN 55369
Phone (763) 981-3200

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

4155 County Road 101 N
Plymouth, MN 55446
Phone (952) 977-3000

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

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 and National Provider Directory roles.

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1760771398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 HOSPITAL DR STE 275",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694778",
            "telephone_number": "952-993-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 HOSPITAL DR STE 275",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694778",
            "telephone_number": "952-993-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2603 White Bear Ave N",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095110",
            "country_code": "US",
            "telephone_number": "651-600-3035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Colchester Ave",
            "address_2": "Smith 415 Mailstop 251SM4Amy Bourgeois Fletcher Allen H",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "05401",
            "country_code": "US",
            "telephone_number": "802-847-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 White Bear Ave N",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095110",
            "country_code": "US",
            "telephone_number": "651-600-3035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1687 Woodlane Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551253046",
            "country_code": "US",
            "telephone_number": "651-209-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "59753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.