Organization Active NPI

Fairview Express Care

  • General Practice Physician
  • Edina, MN
National Provider Identifier
1831707207
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAIRVIEW EXPRESS CARE
Practice address
6401 France Ave S
Edina, MN 55435-2104
Phone
(952) 924-5000
NPI assigned
Jul 21, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Maureen V Ring
Title
Sys Dir Govt Reimb & Netwk Rel
Phone
(612) 672-6740

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 4,131

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

View all 4,131

Medicare participation

Medicare fee-for-service enrollment
Enrolled (6 enrollments) in MN, WI, MI, GA, NV, DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081028000548 MN Part B Supplier - Clinic/Group Practice 3375645179 Receives reassigned benefits from 4,146 practitioners
This NPI is an additional NPI on the enrollment
O20220927002862 WI Part B Supplier - Clinic/Group Practice 3375645179 Receives reassigned benefits from 30 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: De Pere, WI; Hudson, WI; River Falls, WI
O20260123000353 MI Part B Supplier - Clinic/Group Practice 3375645179 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI; Saginaw, MI
O20260127004313 GA Part B Supplier - Clinic/Group Practice 3375645179 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA; Suwanee, GA
O20260216000395 NV Part B Supplier - Clinic/Group Practice 3375645179 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV
O20260219004700 DC Part B Supplier - Clinic/Group Practice 3375645179 Practice locations: Gaithersburg, MD

National Provider Directory

Locations

302 Satellite Blvd NE
#132237
Suwanee, GA 30024
Phone (651) 232-2273

14500 Burnhaven Dr
Ste 125
Burnsville, MN 55306
Phone (952) 892-2510

6545 France Ave S
Ste 450
Edina, MN 55435
Phone (612) 626-6688

6405 France Ave S
Ste 480
Edina, MN 55435
Phone (952) 924-5000

6525 France Ave S
Ste 275
Edina, MN 55435
Phone (952) 831-8346

6341 University Ave NE
Ste 104
Fridley, MN 55432
Phone (763) 572-4946

6500 France Ave S
Minneapolis, MN 55435
Phone (612) 504-6402

606 24th Ave S
Ste 215
Minneapolis, MN 55454
Phone (612) 365-5550

2312 S 6th St
Ste 105
Minneapolis, MN 55454
Phone (612) 273-5530

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

6401 France Ave S
Edina, MN 55435-2104

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740

Other names 1

NPPES NPI Registry
  • M Health Fairview Southdale Hospital (Specialty Billing ) Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2025.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1831707207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-6740",
            "fax_number": "612-884-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352104",
            "telephone_number": "952-924-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW EXPRESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SYS DIR GOVT REIMB & NETWK REL",
        "authorized_official_telephone_number": "612-672-6740"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Health Fairview Southdale Hospital (Specialty Billing )",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 13, 2025; 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.