NPIMap

Individual provider Active NPI

Lucy D Bernhoft Bediako, MPH, PA-C

  • Medical Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1891248977
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2514 Issued in MN
Practice address
2512 S 7TH St Ste 105
Minneapolis, MN 55454-1404
Phone
(612) 273-5005
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2514 MN Primary

Addresses

Primary practice location

2512 S 7TH St Ste 105
Minneapolis, MN 55454-1404

Mailing address

2512 S 7TH St
Minneapolis, MN 55454-1404
Phone (612) 273-5005

Other names 1

  • Lucy Bernhoft Bediako Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160908000198 MN Practitioner - Physician Assistant 2961798558 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2514MNMDAthletic Trainer
12140MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Dec 1, 2021 Accepting new patients
Allina Health System CurrentSince Sep 12, 2016 Accepting new patients
Fairview Express Care CurrentSince Dec 1, 2021 Accepting new patients
Fairview Health Services CurrentSince Dec 1, 2021 Accepting new patients
Fairview Express Care CurrentSince Dec 1, 2021 Accepting new patients
Allina Health System CurrentSince Sep 12, 2016 Accepting new patients

Locations

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2512 S 7th St
Fl 1
Minneapolis, MN 55454
Phone (612) 273-9400

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2512 S 7th St
Minneapolis, MN 55454
Phone (612) 273-4277

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2512 S 7th St
Ste 105
Minneapolis, MN 55454
Phone (612) 273-5005

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

225 Smith Ave N
Ste 400
Saint Paul, MN 55102
Phone (651) 241-7176

Interoperability endpoints

  • Direct secure messaging: lbernhoftbediako696139@fairview.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express Care 1,946 clinicians

Practice addresses (Care Compare)

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207
  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1891248977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 S 7TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541404",
            "telephone_number": "612-273-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 S 7TH ST STE 105",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541404",
            "telephone_number": "612-273-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHOFT BEDIAKO",
        "first_name": "LUCY",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "MPH, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "2514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "BERNHOFT BEDIAKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.