Maggie Abraham, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · St Louis Park, MN
NPI 1851911044 · NPPES record last updated Apr 17, 2020
Key facts
- NPI
- 1851911044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 6600 Excelsior Blvd Ste 160
St Louis Park, MN 55426-4713 - Phone
- (952) 993-7705
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Park Nicollet Clinic
Practice addresses (Care Compare)
1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 993-7750
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
- St Francis Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221004001077 | MN | Practitioner - Family Practice | 9931524949 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current |
Accepting new patients | |
| Park Nicollet Clinic | Current |
Accepting new patients |
Locations
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
6600 Excelsior Blvd
Ste 160
St Louis Park, MN 55426
Phone (952) 993-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
6600 Excelsior Blvd Ste 160
St Louis Park, MN 55426-4713
Mailing address
6600 Excelsior Blvd Ste 160
St Louis Park, MN 55426-4713
Phone (952) 993-7705
Other providers in St Louis Park, MN
- Urgi Sitina Abdulaya
- Zahur M Abdullahi
- Catherine Abel
- Elizabeth Abell
- David J Abelson
- Ansin Abrahim
- Raed D Abughazaleh
- Faruk Said Abuzzahab Sr.
- Sidoline Achemenkong
- Acqua Chiropractic, LLC
All providers in St Louis Park, MN · Student in an Organized Health Care Education/Training Program in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.