NPIMap

Organization Active NPI

Fairview Health Services

Doing business as Fairview Edina Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Edina, MN
National Provider Identifier
1770547796
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FAIRVIEW HEALTH SERVICES
Doing business as
Fairview Edina Orthotics and Prosthetics
Practice address
6545 France Ave S
Ste 450B
Edina, MN 55435-2131
Phone
(952) 929-7717
Fax
(952) 929-4535
NPI assigned
Apr 14, 2006
Reactivated
Feb 6, 2024
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Jill Marie McCartney
Title
System Executive HME O&P
Phone
(651) 632-9835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

6545 France Ave S
Ste 450B
Edina, MN 55435-2131

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-7601

Other identifiers 5

IdentifierTypeStateIssuer
8200173OtherMNMEDICA
67Q55FAOtherMNBCBS
757615300MedicaidMN
110289OtherMNUCARE
8253OtherMNHEALTHPARTNERS

Other names 2

  • Fairview Edina Orthotics and Prosthetics Doing business as
  • Fairview Orthotics and Prosthetics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930051715 MN DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company 1951213057 Practice locations: Edina, MN

National Provider Directory

National Provider Directory
Tax ID family
Fairview Riverside Med Ctr70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

6545 France Ave S
Ste 450B
Edina, MN 55435
Phone (952) 929-7717

2200 University Ave W
Ste 114
Saint Paul, MN 55114
Phone (651) 644-5800

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capitol Park Mental Health HospitalSaint Paul, MN, CCN 244019 Hospital 5% Or Greater Direct Ownership Interest (12.1%) Dec 7, 2021
Accentcare Fairview Home Health - East, LLCOakdale, MN, CCN 247166 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Home Health - West, LLCSaint Paul, MN, CCN 247078 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Hospice - West, LLCSaint Paul, MN, CCN 241514 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1770547796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-7601",
            "fax_number": "612-884-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "STE 450B",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "952-929-7717",
            "fax_number": "952-929-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "deactivation_date": "2023-10-04",
        "reactivation_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SYSTEM EXECUTIVE  HME O&P",
        "authorized_official_telephone_number": "651-632-9835"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8200173",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "67Q55FA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757615300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "110289",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "8253",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Edina Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Orthotics and Prosthetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.