NPIMap

Organization Active NPI

Premier OBGYN of Minnesota PLLC

  • Obstetrics & Gynecology Physician
  • Edina, MN
National Provider Identifier
1801946223
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
005416 Issued in MN
Legal business name
PREMIER OBGYN OF MINNESOTA PLLC
Practice address
3625 W. 65TH Street
Suite 100
Edina, MN 55435
Phone
(952) 920-7001
Fax
(952) 345-0472
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Annelise S SwigertNPI 1114031846
Title
MD
Phone
(952) 345-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 005416 MN Primary

Addresses

Primary practice location

3625 W. 65TH Street
Suite 100
Edina, MN 55435

Mailing address

3625 W. 65TH Street
Suite 100
Edina, MN 55435
Phone (952) 920-7001

Other identifiers 1

IdentifierTypeStateIssuer
755010300MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000729 MN Part B Supplier - Clinic/Group Practice 1355396110 Receives reassigned benefits from 118 practitioners
Practice locations: Maplewood, MN; Minnetonka, MN; Plymouth, MN; Robbinsdale, MN; Saint Paul, MN; Waconia, MN; Woodbury, MN; Maple Grove, MN…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

11855 Ulysses St NE
Ste 240
Blaine, MN 55434

305 E Nicollet Blvd
Ste 393
Burnsville, MN 55337
Phone (952) 435-9505

111 Hundertmark Rd
Ste 440
Chaska, MN 55318
Phone (952) 249-2000

8650 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 561-5651

9825 Hospital Dr
Ste 205
Maple Grove, MN 55369
Phone (763) 587-7000

10900 Wayzata Blvd
Ste 640
Minnetonka, MN 55305

3007 Harbor Ln N
Ste 1400
Plymouth, MN 55447
Phone (763) 587-7000

15535 34th Ave N
Ste 200
Plymouth, MN 55447

3366 Oakdale Ave N
Ste 450
Robbinsdale, MN 55422
Phone (763) 257-4400

1737 Beam Ave
Saint Paul, MN 55109
Phone (612) 770-3320

971 Sibley Memorial Hwy
Ste 350
Saint Paul, MN 55118
Phone (651) 770-3320

560 S Maple St
Ste 220
Waconia, MN 55387
Phone (952) 442-8011

560 S Maple St
Ste 130
Waconia, MN 55387
Phone (952) 442-2137

250 Central Ave N
Ste 103
Wayzata, MN 55391
Phone (952) 249-2000

2101 Woodwinds Dr
Ste 300
Woodbury, MN 55125
Phone (651) 227-9141

Practitioners 147

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1801946223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 W. 65TH STREET",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-920-7001",
            "fax_number": "952-345-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 W. 65TH STREET",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-920-7001",
            "fax_number": "952-345-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OBGYN OF MINNESOTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "SWIGERT",
        "authorized_official_first_name": "ANNELISE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "952-345-7070"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "005416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "755010300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.