Active NPI
Laura A Praeger, MD
- Internal Medicine Physician
- Plymouth, MN
National Provider Identifier
1861453292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 45280
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- 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
- 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
- Leila Ann Pollock, NP
- Robert A Pollock, MD
- Tim Richard Portinga, PSYD LP
- Andrea Potashnick, MS, RDN, LDN
- Michael James Potter, M.D.
- Cortney Lee Prchal, OTR/L CHT
- Precision Chiropractic & Wellness, PLLC
- Pregnancy and Postpartum Support Minnesota
- Premier Diagnostic Imaging, Inc.
- Premier Diagonstic Imaging, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.