Individual provider Active NPI

Phillip Charles Stewart, P.A.-C

  • Physician Assistant
  • Roseville, MN
National Provider Identifier
1962690065
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1068 Issued in MN
Practice address
1835 County Road C W Ste 150
Roseville, MN 55113-1343
Phone
(651) 430-3800
Fax
(651) 430-3827
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 1068 MN Primary

Addresses

Primary practice location

1835 County Road C W Ste 150
Roseville, MN 55113-1343

Mailing address

1950 Northwestern Ave S
Ste 102
Stillwater, MN 55082-7615
Phone (651) 430-3800

Other practice location 1

7373 France Ave S Ste 408
Edina, MN 55435-4549
Phone (651) 430-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pstewart87085@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071115000306 WI Practitioner - Physician Assistant 2860580479 Reassigns benefits to 3 organizations
I20071117000030 MN Practitioner - Physician Assistant 2860580479 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221

235 State St
St Croix Falls, WI 54024-4117

280 Smith Ave N
Suite 600
Saint Paul, MN 55102-2446
Phone (651) 241-7246

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

305 E Nicollet Blvd
Suite 372
Burnsville, MN 55337-8328
Phone (651) 430-3800

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

3366 Oakdale Ave N
Suite 200
Robbinsdale, MN 55422-2962
Phone (763) 520-5200

PO Box
Minneapolis, MN 55440-0043

Hospital & facility affiliations

  • St Croix Regional Medical Center Hospital, Saint Croix Falls, WI, CCN 521337
  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1068MNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jan 1, 2017 Accepting new patients
Allina Health System CurrentSince Jan 1, 2017 Accepting new patients
St. Croix Regional Medical Center CurrentSince Mar 20, 2017 Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2023 Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2023 Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

305 E Nicollet Blvd
Ste 372
Burnsville, MN 55337
Phone (952) 460-4130

7270 Forestview Ln N
Ste 100
Maple Grove, MN 55369

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

7373 France Ave S
Ste 408
Minneapolis, MN 55435
Phone (952) 831-8228

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

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

1835 County Road C W
Ste 150
Roseville, MN 55113
Phone (763) 581-0340

1950 Curve Crest Blvd W
Ste 10
Stillwater, MN 55082

1950 Curve Crest Blvd W
Ste 100
Stillwater, MN 55082
Phone (612) 430-3800

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

Interoperability endpoints

  • Direct secure messaging: phillip.stewartpac.p1@direct.midwestspinebrain.nextgenshare.com
  • Direct secure messaging: pstewart87085@excellian.direct.allina.com

Organizations & group practices 10

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1962690065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NORTHWESTERN AVE S",
            "address_2": "STE 102",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827615",
            "telephone_number": "651-430-3800",
            "fax_number": "651-430-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 COUNTY ROAD C W STE 150",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131343",
            "telephone_number": "651-430-3800",
            "fax_number": "651-430-3827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 France Ave S Ste 408",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354549",
            "country_code": "US",
            "telephone_number": "651-430-3800",
            "fax_number": "651-430-3827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PHILLIP",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstewart87085@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "7373 France Ave S Ste 408",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554354549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.