Individual provider Active NPI

Robin Jean Prugno, D.O.

  • Obstetrics & Gynecology Physician
  • Maple Grove, MN
National Provider Identifier
1891148037
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
69074 Issued in MN
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519002868 MN Practitioner - Obstetrics/Gynecology 9537497557 Reassigns benefits to 2 organizations

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
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

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 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
86.35
Promoting interoperability
100
Improvement activities
40
Cost
71.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Jun 1, 2021 Accepting new patients
Infinite Health Collaborative, PA Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
Premier OBGYN of Minnesota PLLC Obstetrics & Gynecology CurrentSince Dec 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.