Individual provider Active NPI

Katrina Deane Reitz Joiner, PA-C

  • Physician Assistant
  • Golden Valley, MN
National Provider Identifier
1922722214
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14234 Issued in MN
Practice address
8401 Golden Valley Rd
Golden Valley, MN 55427-4486
Phone
(952) 993-8300
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14234 MN Primary

Addresses

Primary practice location

8401 Golden Valley Rd
Golden Valley, MN 55427-4486

Mailing address

8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice location 1

7550 France Ave S Ste 210
Edina, MN 55435-4788
Phone (952) 838-0602

Other practice location 2

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 883-1000

Other practice location 3

4155 County Road 101 N
Plymouth, MN 55446-2307
Phone (952) 993-8900

Other practice location 4

9555 Upland Ln N
Maple Grove, MN 55369-4485
Phone (952) 977-0275

Other practice location 5

6000 Earle Brown Dr
Brooklyn Center, MN 55430-2506
Phone (952) 993-4900

Other practice location 6

2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-6200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018003574 MN Practitioner - Physician Assistant 3476929316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

8401 Golden Valley Rd
Golden Valley, MN 55427-4486
Phone (952) 993-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14234MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince May 16, 2023 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Oct 17, 2022 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Oct 17, 2022 Accepting new patients
Park Nicollet Clinic CurrentSince Aug 1, 2023 Accepting new patients
Group Health, Inc. CurrentSince May 16, 2023 Accepting new patients
Park Nicollet Clinic CurrentSince Aug 1, 2023 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

7550 France Ave S
Ste 210
Edina, MN 55435
Phone (952) 525-0505

9555 Upland Ln N
Maple Grove, MN 55369
Phone (952) 993-1440

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

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

6000 Earle Brown Dr
Minneapolis, MN 55430
Phone (952) 993-4800

8401 Golden Valley Rd
Minneapolis, MN 55427
Phone (952) 993-8300

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

4155 County Road 101 N
Plymouth, MN 55446
Phone (952) 977-3000

2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200

15290 Pennock Ln
Saint Paul, MN 55124
Phone (952) 431-8500

3850 Park Nicollet Blvd
St Louis Park, MN 55416
Phone (952) 883-1000

Organizations & group practices 9

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 6

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1922722214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274486",
            "telephone_number": "952-993-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7550 France Ave S Ste 210",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354788",
            "country_code": "US",
            "telephone_number": "952-838-0602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Park Nicollet Blvd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162527",
            "country_code": "US",
            "telephone_number": "952-883-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4155 County Road 101 N",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554462307",
            "country_code": "US",
            "telephone_number": "952-993-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9555 Upland Ln N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694485",
            "country_code": "US",
            "telephone_number": "952-977-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Earle Brown Dr",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302506",
            "country_code": "US",
            "telephone_number": "952-993-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Como Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551081460",
            "country_code": "US",
            "telephone_number": "651-641-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOINER",
        "first_name": "KATRINA",
        "middle_name": "DEANE REITZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.