Individual provider Active NPI

Vincent Yaccarino, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burnsville, MN
National Provider Identifier
1851852008
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
77264 Issued in MN
Practice address
14551 County Road 11 Ste 100
Burnsville, MN 55337-4799
Phone
(952) 841-2345
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 7893-851 WI
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 77264 MN Primary

Addresses

Primary practice location

14551 County Road 11 Ste 100
Burnsville, MN 55337-4799

Mailing address

14551 County Road 11 Ste 100
Burnsville, MN 55337-4799
Phone (952) 841-2345

Other practice location 1

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-4583

Other practice location 2

600 Highland Ave
Madison, WI 53792-3548
Phone (608) 263-6400

Other practice location 3

420 Delaware St SE Ste 297
Minneapolis, MN 55455-0341
Phone (612) 625-2661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223001904 MN Practitioner - Physical Medicine and Rehabilitation 8921422684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Wisconsin, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew J Will MD PAGroup PAC ID 9830152495, 36 clinicians

Practice addresses (Care Compare)

7235 Ohms LN
Edina, MN 55439-2148
Phone (952) 841-2345

Hospital & facility affiliations

  • Allina Health Faribault Medical Center Hospital, Faribault, MN, CCN 240071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J Will MD PA Physical Medicine & Rehabilitation CurrentSince Oct 28, 2024 Accepting new patients
Twin Cities Surgery Center, PA CurrentSince Dec 15, 2024 Accepting new patients
Andrew J Will MD PA Physical Medicine & Rehabilitation CurrentSince Oct 28, 2024 Accepting new patients
Andrew J Will MD PA Physical Medicine & Rehabilitation Current Accepting new patients
Twin Cities Anesthesia, P.a. Past Accepting new patients

Locations

14551 County Road 11
Ste 100
Burnsville, MN 55337
Phone (952) 260-1381

14551 County Road 11
Ste 110
Burnsville, MN 55337
Phone (952) 222-1818

584 Bavaria Ln
Chaska, MN 55318

12000 Elm Creek Blvd N
Ste 300
Maple Grove, MN 55369

7235 Ohms Ln
Minneapolis, MN 55439
Phone (952) 204-3502

7211 Ohms Ln
Minneapolis, MN 55439
Phone (952) 204-3500

7225 Ohms Ln
Ste 150
Minneapolis, MN 55439

1725 Legacy Pkwy E
Ste 100
Saint Paul, MN 55109
Phone (651) 225-5420

1725 Legacy Pkwy E
Ste 110
Saint Paul, MN 55109
Phone (952) 204-3500

683 Bielenberg Dr
Ste 103
Woodbury, MN 55125
Phone (651) 731-0505

Interoperability endpoints

  • Direct secure messaging: vincent.yaccarino.p1@direct.tcpain.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1851852008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14551 COUNTY ROAD 11 STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374799",
            "telephone_number": "952-841-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 COUNTY ROAD 11 STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374799",
            "telephone_number": "952-841-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 W Watertown Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263548",
            "country_code": "US",
            "telephone_number": "414-955-4583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537923548",
            "country_code": "US",
            "telephone_number": "608-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Delaware St SE Ste 297",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550341",
            "country_code": "US",
            "telephone_number": "612-625-2661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACCARINO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "7893-851",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MN",
            "license": "77264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.