Active NPI
Lindsey Latteman Fensch, MD
- Obstetrics & Gynecology Physician
- Buffalo, MN
National Provider Identifier
1891108627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 64298
- Practice address
- 1700 Highway 25 N
Buffalo, MN 55313 - Phone
- (763) 295-2921
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT206352 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 64298 | MN | Primary |
Addresses
Primary practice location
1700 Highway 25 N
Buffalo, MN 55313
Mailing address
1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313
Other practice location 1
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-8261
Other names 1
- Lindsey Latteman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | llatteman130087@direct.northmemorial.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Hwy 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT206352 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellis Health, PA | Multi-Specialty | Current | Accepting new patients |
| Stellis Health, PA | Multi-Specialty | Current | Accepting new patients |
| Allina Health System | Past | Accepting new patients | |
| Centracare Health System-NR LLC | Past | Accepting new patients |
Locations
1700 Highway 25 N
Hanover, MN 55313
Phone (763) 682-1313
1001 Hart Blvd
Ste 100
Monticello, MN 55362
Phone (763) 295-2921
Interoperability endpoints
- llatteman414356@direct.centracare.com
- llatteman130087@direct.northmemorial.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Buffalo, MN
- NPI 1184664674
-
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1013103050
-
- General Acute Care Hospital
- Buffalo, MN
- NPI 1538123567
-
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1891108627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131930",
"telephone_number": "763-682-1313",
"fax_number": "763-581-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "55313",
"telephone_number": "763-295-2921"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-8261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATTEMAN FENSCH",
"first_name": "LINDSEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT206352",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "64298",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "llatteman130087@direct.northmemorial.com",
"affiliation": "N",
"address_1": "1700 Highway 25 N",
"city": "Buffalo",
"state": "MN",
"country_code": "US",
"postal_code": "55313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "LATTEMAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.