Fairview Express Care
Organization Active NPI Clinic/Center · Burnsville, MN
NPI 1992075501 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1992075501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- FAIRVIEW EXPRESS CARE
- Practice address
- 14101 Fairview Dr
Suite 300
Burnsville, MN 55337-4590 - Phone
- (612) 273-5400
- Fax
- (612) 273-9945
- NPI assigned
- Jan 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Maureen V Ring
- Title
- Sys Dir Govt Reimb & Netwk Rel
- Phone
- (612) 672-6740
Practitioners 125
-
Stuart Welsh Adler II, M.D.
-
Adnan Ahmed, M.D.
-
Jeffrey A Allen, M.D.
-
Gregory M Amer, MD
-
Kayla Ashton, PA-C, ATC
-
Caitlin Grant Baldwin, MSW, LICSW
-
Jennifer Leslie Barnett, PA-C
-
Lee Ann Bera, M.D.
-
Kathryn Nicole Bjelland, PA-C
-
Jeffrey Rex Brace, M.D.
-
David Brauer, M.D., M.P.H.S.
-
Scott Bray, MD
-
Fang Bu, M.D.
-
Abigail Frances Bushey, PA-C
-
Marisa Bushman, AU.D.
-
Biljana Capra, MD
-
Daniel R Carlson, MDIV MSW LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081028000548 | MN | Part B Supplier - Clinic/Group Practice | 3375645179 |
Receives reassigned benefits from 4,146 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
14101 Fairview Dr
Ste 140
Burnsville, MN 55337
2450 Riverside Ave
Ste F105
Minneapolis, MN 55454
Phone (612) 273-6099
3305 Central Park Village Dr
Ste 200
Saint Paul, MN 55121
Phone (651) 406-8860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
14101 Fairview Dr
Suite 300
Burnsville, MN 55337-4590
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740
Other names
- M Health Fairview Pain Clinic - Ridges
Other providers in Burnsville, MN
- Fairview Clinics
- Fairview Express Care
- Fairview Express Care
- Fairview Express Care
- Fairview Express Care
- Fairview Health Servcies
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
All providers in Burnsville, MN · Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. 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.