Active NPI
Robin Jean Prugno, D.O.
- Obstetrics & Gynecology Physician
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 69074
- Practice address
- 9825 Hospital Dr Ste 205
Maple Grove, MN 55369-4480 - Phone
- (763) 587-7000
- NPI assigned
- Jul 22, 2016
- Last updated
- Jul 16, 2024
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 69074 | MN | Primary |
Addresses
Primary practice location
9825 Hospital Dr Ste 205
Maple Grove, MN 55369-4480
Mailing address
3600 Route 66
3 Rd Floor
Neptune, NJ 07753
Phone (732) 807-0880
Other practice location 1
3499 US Hwy 9
Ste 2B
Freehold, NJ 07728
Phone (732) 776-3790
Other names 1
- Ms. Robin Jean Andersen
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
- Nova Southeastern College of Osteo Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9825 Hospital Dr
Suite 205
Maple Grove, MN 55369-4480
Phone (763) 587-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.24 of 100
- Quality
- 86.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.1
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Premier OBGYN of Minnesota PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Metropolitan Obstetrics & Gynecology | Obstetrics & Gynecology | Past | Accepting new patients |
| Maple Grove Hospital Corporation | Past | Accepting new patients |
Locations
11855 Ulysses St NE
Ste 240
Blaine, MN 55434
9825 Hospital Dr
Ste 205
Maple Grove, MN 55369
Phone (763) 587-7000
6545 France Ave S
Minneapolis, MN 55435
Phone (952) 848-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
15535 34th Ave N
Plymouth, MN 55447
Phone (763) 581-5950
3007 Harbor Ln N
Ste 1400
Plymouth, MN 55447
Phone (763) 587-7000
Interoperability endpoints
- robin.prugno.1@20897.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Edina, MN
- NPI 1801946223
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
- Obstetrics & Gynecology Physician
- Saint Paul, MN
- NPI 1659355741
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
dba University of MN Medical Center, Fairview Transitional Care
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1891148037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 ROUTE 66",
"address_2": "3 RD FLOOR",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "07753",
"telephone_number": "732-807-0880",
"fax_number": "201-751-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 HOSPITAL DR STE 205",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694480",
"telephone_number": "763-587-7000"
}
],
"practiceLocations": [
{
"address_1": "3499 US Hwy 9",
"address_2": "Ste 2B",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "07728",
"country_code": "US",
"telephone_number": "732-776-3790",
"fax_number": "732-776-4525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUGNO",
"first_name": "ROBIN",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "69074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "ANDERSEN",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.