Active NPI
Lindsey Nicole Pham, PA-C
- Physician Assistant
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14928
- Practice address
- 2355 Hwy 36 W
Ste. 100
Roseville, MN 55113 - Phone
- (651) 292-2000
- NPI assigned
- Sep 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14928 | MN | Primary |
Addresses
Primary practice location
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113
Mailing address
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113
Phone (651) 292-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
14000 Nicollet Ave
Suite 204
Burnsville, MN 55337-5796
Phone (651) 292-2000
14655 Galaxie Ave
Apple Valley, MN 55124-8602
250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000
2925 Chicago Ave
Minneapolis, MN 55407-1321
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 292-2000
4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306
4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 483-5461
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 292-2000
6401 France Ave S
Edina, MN 55435-2104
Phone (651) 292-2000
8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000
8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900
9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155
Hospital & facility affiliations
- Regions Hospital
- M Health Fairview Southdale Hospital
- Allina United Hospital
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1206 | SD | MD | Occupational Therapist |
| 14928 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Sanford Medical Center | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Sanford Clinic | Physician Assistant | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Sanford Medical Center | Physician Assistant | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Sanford Clinic | Past | Accepting new patients | |
| Consulting Radiologists, LTD | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations (25 of 29)
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
755 Crossroads Campus Dr NE
Buffalo, MN 55313
Phone (763) 684-6300
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333
11269 Jefferson Hwy N
Champlin, MN 55316
Phone (763) 236-0600
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
1240 Osborne Rd NE
Fridley, MN 55432
Phone (612) 775-2345
1285 Nininger Rd
Hastings, MN 55033
Phone (651) 480-4200
1880 N Frontage Rd
Hastings, MN 55033
Phone (651) 438-1800
7840 Vinewood Ln N
Maple Grove, MN 55369
Phone (763) 236-0200
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155
6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
4300 Edgewood Dr NE
Saint Michael, MN 55376
Phone (763) 744-4000
14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141
1110 Yankee Doodle Rd
Saint Paul, MN 55121
Phone (651) 454-3970
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
7400 33rd St N
Ste 100
Saint Paul, MN 55128
Phone (651) 241-9240
5565 Blaine Ave
South St Paul, MN 55076
Phone (651) 241-9400
1155 County Road E E
Ste 100
Vadnais Heights, MN 55110
Phone (651) 241-9200
Interoperability endpoints
- lpham2680034@fairview.direct-ci.com
Organizations & group practices 25
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.
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
-
- Radiology Clinic/Center
- Roseville, MN
- NPI 1427008937
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Psychologist
- Sioux Falls, SD
- NPI 1396764254
-
- Surgery Physician
- Sioux Falls, SD
- NPI 1760569248
-
- Pain Medicine Physician
- Minneapolis, MN
- NPI 1316980386
Hospital & facility affiliations 46
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1811546385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 HWY 36 W",
"address_2": "STE. 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-292-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 HWY 36 W",
"address_2": "STE. 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-292-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "LINDSEY",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.