LOGAN RENNINGER PAC
NPI 1053159509
Physician Assistant - Medical in Robbinsdale, MN

Q: What is Logan Renninger's NPI number?

The NPI number for Logan Renninger is 1053159509. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Q: What is Logan Renninger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Logan Renninger was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2024PECOS EnrolledAccepts Medicare Assignment

3300 OAKDALE AVE N, ROBBINSDALE, MN 55422(763) 581-3700(763) 581-3701 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Logan Renninger Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN RENNINGER PAC (NPI 1053159509) is an individual medical provider in Robbinsdale, Minnesota, licensed in Minnesota (15039) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053159509

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameLOGAN RENNINGERCredential: PAC

Location Address3300 OAKDALE AVE NRobbinsdale, MN 55422-2926

Mailing Address3300 Oakdale Ave NRobbinsdale, MN 55422-2926 · (763) 581-3700 · Fax (763) 581-3701

Phone(763) 581-3700

Fax(763) 581-3701

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 18, 2024

Last NPPES UpdateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1053159509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MN · 15039

3300 OAKDALE AVE N, Robbinsdale, MN 55422

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Renninger Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426598996

PECOS Enrollment IDI20240911000833

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240001

Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County

Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240214

Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAELA ANNE MCLAIN FNP

Nurse Practitioner (Family)

3300 OAKDALE AVE N
ROBBINSDALE, MN 55422

Hennepin County (763) 520-5110

ALYSSA WARDEN DO

Physical Medicine & Rehabilitation

3300 OAKDALE AVE N
ROBBINSDALE, MN 55422

Hennepin County (763) 520-5200

LAURA WRIGHTWOOD APRN, CNP

Nurse Practitioner (Gerontology)

3300 OAKDALE AVE N
ROBBINSDALE, MN 55422

Hennepin County (763) 520-5200

WILLIAM NATHAN LISBERG MD

Radiology (Diagnostic Radiology)

3300 OAKDALE AVE N
ROBBINSDALE, MN 55422

Hennepin County (763) 559-2171

DR. LAURA L SCHMITZ MD

Pathology (Anatomic Pathology & Clinical Pathology)

3300 OAKDALE AVE N
MINNEAPOLIS, MN 55422

Hennepin County (763) 581-4150

DR. MARY DELLING MCLAURIN MD

Internal Medicine (Cardiovascular Disease)

3300 OAKDALE AVE N, #200
MINNEAPOLIS, MN 55422

Hennepin County (763) 520-2001

DR. ALOK MAHESHWARI MD

Internal Medicine (Interventional Cardiology)

3300 OAKDALE AVE N
ROBBINSDALE, MN 55422

Hennepin County (763) 581-5400

MS. TINA MARIE ALLENBURG NURSE PRACTITIONER

Nurse Practitioner

3300 OAKDALE AVE N, SUITE 200
MINNEAPOLIS, MN 55422

Hennepin County (763) 520-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Renninger's NPI number?

The NPI number for Logan Renninger is 1053159509. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Logan Renninger located?

Logan Renninger practices at 3300 Oakdale Ave N, Robbinsdale, MN 55422. The listed phone number is (763) 581-3700.

What is Logan Renninger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Logan Renninger enrolled in Medicare?

Yes. Logan Renninger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Logan Renninger accept?

Health plans from Medica list Logan Renninger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Logan Renninger affiliated with any hospitals?

According to CMS data, Logan Renninger is affiliated with North Memorial Health Hospital and Maple Grove Hospital.

When was this NPI record last updated?

The NPPES record for Logan Renninger was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.