AUDREY MIE PARK-SKINNER
NPI 1083647499
Surgery in Duluth, MN
About Audrey Mie Park-skinner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY MIE PARK-SKINNER (NPI 1083647499) is an individual surgery provider in Duluth, Minnesota, licensed in Minnesota (35484) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Temple University School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Audrey Mie Park-skinner 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.
Medicare Billing Reassignments
5Medicare enrollment records show Audrey Park-skinner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Superior, WI 54880
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Marys Hospital Of Superior
- 381 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 171 clinicians in this Medicare group
Walker, MN 56484
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: St Marys Regional Health Center
- 254 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Audrey Park-skinner's NPI number?
The NPI number for Audrey Park-skinner is 1083647499. It was assigned to this individual provider in the NPPES registry on July 9, 2006.
Where is Audrey Park-skinner located?
Audrey Park-skinner practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Audrey Park-skinner's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Audrey Park-skinner enrolled in Medicare?
Yes. Audrey Park-skinner 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.
Which organizations bill Medicare for Audrey Park-skinner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Park-skinner reassigns Medicare benefits to 5 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Hospital Of Superior (Superior, WI), Range Regional Health Services (Hibbing, MN), Deer River Healthcare Center, Inc. (Grand Rapids, MN) and St Mary's Regional Health Center (Walker, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey Park-skinner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Audrey Park-skinner accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica list Audrey Park-skinner 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 Audrey Park-skinner affiliated with any hospitals?
According to CMS data, Audrey Park-skinner is affiliated with Essentia Health St Mary's Medical Center.
When was this NPI record last updated?
The NPPES record for Audrey Park-skinner was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Audrey Mie Park-Skinner · NPI 1083647499
Surgery physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1083647499 (Entity type: Individual)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 35484 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN); St. Mary's Hospital Of Superior (NPI 1083657886, Superior, WI); Range Regional Health Services (NPI 1356321699, Hibbing, MN); Deer River Healthcare Center, Inc. (NPI 1093152423, Grand Rapids, MN); St Mary's Regional Health Center (NPI 1558607408, Walker, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** May 9, 2011
- **Other identifiers:** Medicaid 31795100 (WI); Medicare PIN 029000913 (MN); Medicare UPIN E88992; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1083647499) · Data from the CMS NPPES public registry.