Individual provider Active NPI

Lindsey Nicole Pham, PA-C

  • Physician Assistant
  • Roseville, MN
National Provider Identifier
1811546385
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14928 Issued in MN
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

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191018001932 SD Practitioner - Physician Assistant 5395076533 Reassigns benefits to 3 organizations
I20250522000875 MN Practitioner - Physician Assistant 5395076533 Reassigns benefits to 8 organizations

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
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

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 Hospital, Saint Paul, MN, CCN 240106
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1206SDMDOccupational Therapist
14928MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jun 1, 2025 Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2025 Accepting new patients
Allina Health System CurrentSince Jun 1, 2025 Accepting new patients
Sanford Medical Center CurrentSince Dec 14, 2020 Accepting new patients
Fairview Express Care CurrentSince Jun 1, 2025 Accepting new patients
Sanford Clinic Physician Assistant CurrentSince Dec 14, 2020 Accepting new patients
Fairview Express Care CurrentSince Jun 1, 2025 Accepting new patients
Sanford Medical Center Physician Assistant CurrentSince Dec 14, 2020 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2025 Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2025 Accepting new patients
Sanford Clinic CurrentSince Dec 14, 2020 Accepting new patients
Allina Health System CurrentSince Jun 1, 2025 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

  • Direct secure messaging: 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.

View all 25

Hospital & facility affiliations 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

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

Verify at the official NPI Registry.