Active NPI
Julie Elise Risinger, DO
- Pediatrics Physician
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 71082
- Practice address
- 11475 Robinson Dr NW
Coon Rapids, MN 55433-3746 - Phone
- (763) 587-9000
- Fax
- (763) 587-9130
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8302 | NE | |
| Pediatrics Physician | 208000000X | 71082 | MN | Primary |
Addresses
Primary practice location
11475 Robinson Dr NW
Coon Rapids, MN 55433-3746
Mailing address
8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
982185 Nebraska Medical Ctr
Omaha, NE 68198-2185
Phone (402) 559-5380
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2118 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health Plan, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients | |
| Nebraska Medical Center | Past | Accepting new patients | |
| Group Health, Inc. | Past | Accepting new patients |
Locations
11475 Robinson Dr NW
Stop 32600A
Coon Rapids, MN 55433
Phone (763) 754-4600
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
11475 Robinson Dr NW
Minneapolis, MN 55433
Phone (763) 587-9000
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
Interoperability endpoints
- jrisinger287819@direct.healthpartners.com
Organizations & group practices 6
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.
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- Health Service Clinic/Center
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- NPI 1962704346
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
-
- Durable Medical Equipment & Medical Supplies
- Apple Valley, MN
- NPI 1801957717
-
- Children's Hospital
- Omaha, NE
- NPI 1164641312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1962996710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11475 ROBINSON DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333746",
"telephone_number": "763-587-9000",
"fax_number": "763-587-9130"
}
],
"practiceLocations": [
{
"address_1": "982185 Nebraska Medical Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681982185",
"country_code": "US",
"telephone_number": "402-559-5380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RISINGER",
"first_name": "JULIE",
"middle_name": "ELISE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "8302",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "71082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.