Individual provider Active NPI

Laura A Praeger, MD

  • Internal Medicine Physician
  • Plymouth, MN
National Provider Identifier
1861453292
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45280 Issued in MN
Practice address
2800 Campus Dr Ste 44
Plymouth, MN 55441-2669
Phone
(612) 870-7711
Fax
(612) 870-1666
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45280 MN Primary

Addresses

Primary practice location

2800 Campus Dr Ste 44
Plymouth, MN 55441-2669

Mailing address

2800 Campus Dr Ste 44
Plymouth, MN 55441-2669
Phone (612) 870-7711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpraeger85750@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 3, 2023 through Oct 3, 2027

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: lpraeger85750@excellian.direct.allina.com

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1861453292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR STE 44",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412669",
            "telephone_number": "612-870-7711",
            "fax_number": "612-870-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR STE 44",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412669",
            "telephone_number": "612-870-7711",
            "fax_number": "612-870-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAEGER",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "45280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpraeger85750@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "407 W 66th St",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554232374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.