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ANNIKA JEAN BALLANTYNE MD
NPI 1225830102
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since March 24, 2025PECOS Enrolled
2020 E 28TH ST STE 104, MINNEAPOLIS, MN 55407(612) 333-0770 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annika Jean Ballantyne Md NPPES

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

ANNIKA JEAN BALLANTYNE MD (NPI 1225830102) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225830102
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNIKA JEAN BALLANTYNECredential: MD
Location Address2020 E 28TH ST STE 104Minneapolis, MN 55407-1925
Mailing Address2020 E 28th St Ste 104Minneapolis, MN 55407-1925 · (612) 333-0770
Phone(612) 333-0770
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1225830102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2020 E 28TH ST STE 104, Minneapolis, MN 55407
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annika Jean Ballantyne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 19

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

JESSICA ELIZA SUKHARAN MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (763) 330-0770
ALEXANDER JAMES HART MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
CARLY MARIE NORDEN MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
DR. SARAH COPELAS DO
Family Medicine
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 330-0770
VICTORIA KASPRZAK
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
DR. ALEXANDRA ZINNEN MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
JAGNEET KAUR MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
ABIGAIL MARIE GIL EASTMAN DO
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770

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 Annika Ballantyne's NPI number?

The NPI number for Annika Ballantyne is 1225830102. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Annika Ballantyne located?

Annika Ballantyne practices at 2020 E 28th St Ste 104, Minneapolis, MN 55407. The listed phone number is (612) 333-0770.

What is Annika Ballantyne's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Annika Ballantyne enrolled in Medicare?

Yes. Annika Ballantyne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annika Ballantyne was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.