Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTOR DAVIS PATRICK
NPI 1124494414
Nurse Practitioner - Family in Saint Paul, MN

Q: What is Victor Patrick's NPI number?

The NPI number for Victor Patrick is 1124494414. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Q: What is Victor Patrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Victor Patrick was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 August 20, 2015PECOS EnrolledAccepts Medicare Assignment

625 SNELLING AVE N STE A, SAINT PAUL, MN 55104(651) 363-3111 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2021, Sep 21, 2018, Feb 28, 2017 (3 updates tracked since 2017).

On this page

About Victor Davis Patrick NPPES

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

VICTOR DAVIS PATRICK (NPI 1124494414) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (4761) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124494414

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameVICTOR DAVIS PATRICK

Location Address625 SNELLING AVE N STE ASaint Paul, MN 55104-5585

Mailing Address625 Snelling Ave N Apt ASaint Paul, MN 55104-5585 · (651) 363-3111

Phone(651) 363-3111

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 20, 2015

Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1124494414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 4761

Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP 4761 (MN)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 4761 (MN)

625 SNELLING AVE N STE A, Saint Paul, MN 55104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Victor Davis Patrick 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 ID5395018824

PECOS Enrollment IDI20170906000686

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

2%132 patients1/55-star benchmark: 85%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

AMAZING GRACE HEALTH, LLC

Nurse Practitioner (Family)

625 SNELLING AVE N STE A
SAINT PAUL, MN 55104

Ramsey County (952) 288-9921

LAMIN JAITEH

Nurse Practitioner (Family)

625 SNELLING AVE N STE A
SAINT PAUL, MN 55104

Ramsey County (513) 633-1111

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 Victor Patrick's NPI number?

The NPI number for Victor Patrick is 1124494414. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Where is Victor Patrick located?

Victor Patrick practices at 625 Snelling Ave N Ste A, Saint Paul, MN 55104. The listed phone number is (651) 363-3111.

What is Victor Patrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Victor Patrick enrolled in Medicare?

Yes. Victor Patrick 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 Victor Patrick accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Victor Patrick 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.

When was this NPI record last updated?

The NPPES record for Victor Patrick was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.