Ariana Amini, PA
Individual provider Active NPI Physician Assistant · Woodbury, MN
NPI 1790470565 · NPPES record last updated Apr 7, 2023
Key facts
- NPI
- 1790470565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 14384 (MN)
- Practice address
- 2090 Woodwinds Dr
Woodbury, MN 55125-2522 - Phone
- (651) 968-5201
- Fax
- (651) 968-5903
- NPI assigned
- Apr 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Orthopedics, LTD
Practice addresses (Care Compare)
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone (651) 968-5201
2090 Woodwinds Dr
Saint Paul, MN 55125-2522
Phone (651) 968-5201
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
6050 Sycamore LN N
Plymouth, MN 55442-1402
Phone (651) 968-5201
Hospital & facility affiliations
- M Health Fairview Woodwinds Hospital
- M Health Fairview St John'S Hospital
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 |
|---|---|---|---|---|
| I20230607000780 | MN | Practitioner - Physician Assistant | 5698132603 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics LTD | Current |
Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Summit Orthopedics, LTD. | Current |
Accepting new patients |
Locations
11995 Singletree Ln
Ste 325
Eden Prairie, MN 55344
17210 Kenyon Ave
Lakeville, MN 55044
Phone (651) 968-5960
6050 Sycamore Ln N
Plymouth, MN 55442
Phone (651) 968-5462
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Interoperability endpoints
- arianaamini@sol.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14384 | MN | Yes |
Addresses
Primary practice location
2090 Woodwinds Dr
Woodbury, MN 55125-2522
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5201
Other providers in Woodbury, MN
- Alpha Care Family Services, Inc.
- Rudolf Alvey
- Promise Amajiri
- Amanda Boraas PLLC
- America'S Best Contacts & Eyeglasses
- Khadro Mohamed Amoud I
- Anne Elizabeth Amspoker
- Dana Amthor
- Kolawole Lookman Amusan
- Anchor Care Services LLC
All providers in Woodbury, MN · 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 Apr 7, 2023. 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.