St Francis Regional Medical Center
Organization Active NPI Clinic/Center · Jordan, MN
NPI 1972857597 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1972857597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ST FRANCIS REGIONAL MEDICAL CENTER
- Practice address
- 265 Creek LN S
Jordan, MN 55352-1214 - Phone
- (952) 428-1200
- NPI assigned
- Nov 5, 2012
- Organization subpart
- No
Authorized official
- Name
- Amy Jerdee
- Title
- President
- Phone
- (952) 428-2400
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 2
Member of 2
Practitioners 170
-
Eseoghene Abokede, M.D
-
Tammie Burnoski, CNP
-
Holly L Gisi-York, CNP
-
Gregory Alan Haines, D.O.
-
Douglass S. Hassell, M.D.
-
Lisa Carol Larson, PAC
-
David S Morrell, MD
-
John M Nobrega, M.D.
-
Trudi Parker, MD
-
Liza Antoinette Jain Phu, M.D.
-
Huy Q Tran, MD
-
Rishi Kalra, DO
-
Jed W Adams, CRNA
-
Nneka Agujiobi, M.D
-
Laila Summer Akhter, DNP, APRN, FNP-C
-
Michael James Annen, M.D.
-
Karyn E Barry, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000408 | MN | Part B Supplier - Clinic/Group Practice | 7214821909 |
Receives reassigned benefits from 375 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jordan, MN; Shakopee, MN; Savage, MN |
| O20130507000549 | MN | DME Supplier - Physician - Unknown Physician Specialty | 7214821909 | Practice locations: Jordan, MN |
National Provider Directory
Locations
8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
265 Creek LN S
Jordan, MN 55352-1214
Mailing address
PO Box 43
Mail Route 10860
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other names
- St Francis - Jordan Clinic
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
Other providers in Jordan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.