Individual provider Active NPI

Erin Caprice Minkin, PA-C

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1831345859
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
119437 Issued in MO
Practice address
12700 Southfork Rd Ste 280
Saint Louis, MO 63128-3287
Phone
(314) 525-4990
Fax
(314) 525-4926
NPI assigned
Aug 10, 2008
Last updated
Aug 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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 119437 MO Primary

Addresses

Primary practice location

12700 Southfork Rd Ste 280
Saint Louis, MO 63128-3287

Mailing address

12700 Southfork Rd Ste 280
Saint Louis, MO 63128-3287
Phone (314) 525-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081210000427 MO Practitioner - Physician Assistant 3678634524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darin M Minkin IncGroup PAC ID 7012081284, 2 clinicians

Practice addresses (Care Compare)

675 Old Ballas Rd
Suite 102
Creve Coeur, MO 63141-7083
Phone (314) 965-8410

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew T. Ricks DO LLC Past Accepting new patients
Minkin Surgical LLC PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218326400000",
    "number": "1831345859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 280",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283287",
            "telephone_number": "314-525-4990",
            "fax_number": "314-525-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 280",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283287",
            "telephone_number": "314-525-4990",
            "fax_number": "314-525-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKIN",
        "first_name": "ERIN",
        "middle_name": "CAPRICE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-10",
        "last_updated": "2008-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "119437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.