NPIMap

Individual provider Active NPI

Andrew Mulder, M.D.

  • Orthopaedic Surgery Physician
  • Sartell, MN
National Provider Identifier
1902045081
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
56651 Issued in MN
Practice address
1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone
(320) 259-4100
Fax
(320) 257-5523
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 56651 MN
Orthopaedic Surgery Physician 207X00000X 56651 MN Primary

Addresses

Primary practice location

1901 Connecticut Ave S
Sartell, MN 56377-2554

Mailing address

1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 259-4100

Other practice location 1

3315 Roosevelt Rd Ste 200B
Saint Cloud, MN 56301-9687
Phone (320) 259-4100

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
I20131101000429 MN Practitioner - Orthopedic Surgery 2769637537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud Orthopedic Associates LTDGroup PAC ID 0143113951, 44 clinicians
County of MeekerGroup PAC ID 0840109740, shared by 4 NPIs, 44 clinicians

Practice addresses (Care Compare)

1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 259-4100

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 693-3233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.31 of 100Reported as group
Quality
74.55
Promoting interoperability
79
Improvement activities
40
Cost
83.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement55
Knee replacement48
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56651MNMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Meeker CurrentSince Feb 1, 2025 Accepting new patients
County of Meeker CurrentSince Feb 1, 2025 Accepting new patients
St. Cloud Orthopedic Associates, LTD. Orthopaedic Surgery CurrentSince Aug 30, 2013 Accepting new patients
St. Cloud Hospital Past Accepting new patients

Locations

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

3315 Roosevelt Rd
Ste 200B
Saint Cloud, MN 56301
Phone (320) 259-4100

1901 Connecticut Ave S
Sartell, MN 56377
Phone (320) 259-4100

Interoperability endpoints

  • Direct secure messaging: amulder@stcloudortho1831.srs-direct.com
  • Direct secure messaging: amulder135918@direct.centracare.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.

Hospital & facility affiliations 10

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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1902045081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-259-4100",
            "fax_number": "320-257-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-259-4100",
            "fax_number": "320-257-5523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 Roosevelt Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563019687",
            "country_code": "US",
            "telephone_number": "320-259-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULDER",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MN",
            "license": "56651",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "56651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.