Herself Health Mn Pc - Medicare Primary Care in Saint Paul, MN

Herself Health Mn Pc is a medicare enrolled primary clinic (Internal Medicine) in Saint Paul, Minnesota. The current practice location for Herself Health Mn Pc is 2004 Ford Pkwy, Saint Paul, Minnesota. For appointments, you can reach them via phone at (612) 256-8225. The mailing address for Herself Health Mn Pc is 2004 Ford Pkwy, Saint Paul, Minnesota and phone number is (612) 256-8225.

Herself Health Mn Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326775420. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (612) 256-8225.

Contact Information

Herself Health Mn Pc
2004 Ford Pkwy
Saint Paul
MN 55116-1931
(612) 256-8225
(612) 457-0216

Map and Direction


Primary Care Clinic Profile

Full NameHerself Health Mn Pc
SpecialityInternal Medicine
Location2004 Ford Pkwy, Saint Paul, Minnesota
Authorized Official Name and PositionThomas F Brewer (PRESIDENT)
Authorized Official Contact8882901209
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Herself Health Mn Pc
2004 Ford Pkwy
Saint Paul
MN 55116-1931

Ph: (612) 256-8225
Herself Health Mn Pc
2004 Ford Pkwy
Saint Paul
MN 55116-1931

Ph: (612) 256-8225

NPI Details:

NPI Number1326775420
Provider Enumeration Date08/08/2022
Last Update Date08/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6507234820
Medicare Enrollment IDO20221117002048

Medical Identifiers

Medical identifiers for Herself Health Mn Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326775420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Herself Health Mn Pc acts as a billing entity for following providers:
Provider NameShelley L Zaun
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225098353
PECOS PAC ID: 3375431752
Enrollment ID: I20040308000691
Provider NameHynatu L Williamson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508962440
PECOS PAC ID: 4284724147
Enrollment ID: I20071214000603
Provider NameRhonda I Bakke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093026528
PECOS PAC ID: 5991994964
Enrollment ID: I20110105001315
Provider NameBrenda J Novacinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851669113
PECOS PAC ID: 8527222900
Enrollment ID: I20120614000769
Provider NameMarissa D Drake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124438734
PECOS PAC ID: 0143440933
Enrollment ID: I20140929002391
Provider NameSalwa Bakkali-derksen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538446059
PECOS PAC ID: 2769620681
Enrollment ID: I20141006001031
Provider NameJill L Titze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487969820
PECOS PAC ID: 0446420616
Enrollment ID: I20150630000395
Provider NameFlorence Fon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457746281
PECOS PAC ID: 4789996786
Enrollment ID: I20150706000931
Provider NameJennifer R Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245615194
PECOS PAC ID: 0941516728
Enrollment ID: I20150825005080
Provider NameYankuba A Sanyang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275068074
PECOS PAC ID: 4284904160
Enrollment ID: I20170726000535
Provider NameTara Lynn Mccullough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538648811
PECOS PAC ID: 1658623277
Enrollment ID: I20181010000668
Provider NameJulie Anne Manco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740690726
PECOS PAC ID: 2668696022
Enrollment ID: I20211122002599
Provider NameNaomi B Ongeri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588312458
PECOS PAC ID: 1850775362
Enrollment ID: I20220901001877
Provider NameEmmanuela A Enyinnaya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346958642
PECOS PAC ID: 6901278647
Enrollment ID: I20230207001388
Provider NameLeah Brittany Carver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184400210
PECOS PAC ID: 6507213865
Enrollment ID: I20231108000100
Provider NameDarci Ann Wilkinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811769896
PECOS PAC ID: 1254788599
Enrollment ID: I20231108003121

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.