NPIMap

Individual provider Active NPI

Daniel Signorelli, PA-C

  • Physician Assistant
  • Roseville, MN
National Provider Identifier
1841591344
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13587 Issued in MN
Practice address
2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113-3509
Phone
(651) 292-2000
NPI assigned
Nov 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.003911 IL
Physician Assistant 363A00000X 13587 MN Primary

Addresses

Primary practice location

2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113-3509

Mailing address

2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429000599 MN Practitioner - Physician Assistant 3375777394 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians

Practice addresses (Care Compare)

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 292-2000

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (651) 292-2000

6401 France Ave S
Edina, MN 55435-2104
Phone (651) 292-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
95
Improvement activities
40
Cost
82.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.003911ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Apr 14, 2021 Accepting new patients
Fairview Express Care CurrentSince Apr 14, 2021 Accepting new patients
Lac Qui Parle Clinic of Madison Inc Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Apr 14, 2021 Accepting new patients
Allina Health System CurrentSince Apr 14, 2021 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Madison Healthcare Services CurrentSince Jan 7, 2024 Accepting new patients
Fairview Express Care CurrentSince Apr 14, 2021 Accepting new patients
Consulting Radiologists, LTD Past Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

Interoperability endpoints

  • Direct secure messaging: danielsignorelli@jph.medalliesdirect.net

Organizations & group practices 16

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 16

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1841591344",
    "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": "551133905"
        },
        {
            "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": "551133509",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNORELLI",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.003911",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.