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FAIRVIEW HEALTH SERVICES
NPI 1417037896
Family Medicine in Wyoming, MN

Active since October 17, 2006
5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 982-7000(651) 982-7110 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2025, Nov 20, 2023, Oct 26, 2023 and 2 more (5 updates tracked since 2020).

About Fairview Health Services NPPES

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

FAIRVIEW HEALTH SERVICES (NPI 1417037896) is a healthcare organization registered as a family medicine in Wyoming, Minnesota and active in the NPI registry since October 2006. The organization lists Maureen V Ring, Sys Dir Govt Reimb & Netwk Rel, as its authorized official.

NPPES Registry Identity

NPI1417037896
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRVIEW HEALTH SERVICES
Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (612) 672-6740 · Fax (612) 884-3592
Phone(651) 982-7000
Fax(651) 982-7110
Organization SubpartNo
Authorized OfficialMaureen V RingSys Dir Govt Reimb & Netwk Rel · (612) 672-6740
Enumeration DateOctober 17, 2006
Last NPPES UpdateFebruary 24, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1417037896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5200 FAIRVIEW BLVD, Wyoming, MN 55092
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Other Names 1

Other NameFairview Lakes Regional Medical Center - Physicians

Other Identifiers 13

Other52191CHMN · Bcbs
Medicaid806010002MN
Other136674MN · Ucare
Medicaid108418600MN
Medicaid806010003MN
Other51449MN · Healthpartners
Medicaid792825401MN
Medicaid806010000MN
OtherFP905MN · Preferredone
Other121112MN · Ucare
Other51329MN · Healthpartners
Medicaid806010004MN
Other73769MN · Healthpartners

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairview Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4,025

Medicare enrollment records show 4,025 clinicians reassign Medicare billing to Fairview Health Services, which bills Medicare for the services they deliver. Of these, 62 practice at this address and 77 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 74

Internal Medicine575
Nurse Practitioner542
Family Practice302
Diagnostic Radiology267
Pediatric Medicine255
Certified Registered Nurse Anesthetist (CRNA)238
Emergency Medicine162
Psychiatry117
66 other specialties1,567

Nearest to this location (20)

See all 4,025
Scott Ahrenholz, D.O.
Sports Medicine
NPI 1720068810
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7800
✔ PECOS✔ Accepts MedicareSame address
Rachel Baar, MS, RD, LD
Registered Dietitian or Nutrition Professional
NPI 1134253156
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7731
✔ Accepts MedicareSame address
Kaitlin Barabash, D.O.
Obstetrics/Gynecology
NPI 1366892937
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOS✔ Accepts MedicareSame address
Lee Bera, M.D.
Internal Medicine
NPI 1457797896
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7600
✔ PECOS✔ Accepts MedicareSame address
Kevin Brueske
Pediatric Medicine
NPI 1588028955
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOSSame address
Elizabeth Cabrera, D.O.
Internal Medicine
NPI 1437477981
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOS✔ Accepts MedicareSame address
James Cain, MD
General Surgery
NPI 1629090469
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7600
✔ PECOS✔ Accepts MedicareSame address
John Carlson-Buren, DPM
Podiatry
NPI 1023087814
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 389-0182
✔ PECOS✔ Accepts MedicareSame address
Chen Chen, MD
Obstetrics/Gynecology
NPI 1053808147
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOS✔ Accepts MedicareSame address
Mark Comnick, MD
Nephrology
NPI 1851380752
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOS✔ Accepts MedicareSame address
Sean Condon, MD
Emergency Medicine
NPI 1346869930
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOS✔ Accepts MedicareSame address
David Drage, MD
Emergency Medicine
NPI 1053339697
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOS✔ Accepts MedicareSame address
John Eikens, MD
Family Practice
NPI 1104844604
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOSSame address
Rebecca Gray, CNP
Certified Nurse Midwife (CNM)
NPI 1962448969
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7600
✔ PECOS✔ Accepts MedicareSame address
Crystal Hambley, FNP
Nurse Practitioner
NPI 1790126837
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOS✔ Accepts MedicareSame address
Heidi Ruzek, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174550289
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOSSame address
Michael Campoli, M.D., PH.D.
Dermatology
NPI 1730206541
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7600
✔ PECOSSame address
Ryan Olmscheid, DPT, OCS
Physical Therapist in Private Practice
NPI 1124430228
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 674-6772
✔ Accepts MedicareSame address
Dipi Sharma, M.D
Infectious Disease
NPI 1841451135
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7600
✔ PECOS✔ Accepts MedicareSame address
Yuriy Zgherea, M.D.
Allergy/Immunology
NPI 1891941373
5200 FAIRVIEW BLVD
Wyoming, MN 55092
(651) 982-7000
✔ PECOS✔ Accepts MedicareSame address
See all 4,025 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fairview Health Services's NPI number?

The NPI number for Fairview Health Services is 1417037896. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is also known as Fairview Lakes Regional Medical Center - Physicians.

Where is Fairview Health Services located?

Fairview Health Services is located at 5200 Fairview Blvd, Wyoming, MN 55092. The listed phone number is (651) 982-7000.

What is Fairview Health Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fairview Health Services enrolled in Medicare?

Yes. Fairview Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairview Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,025 clinicians in 74 Medicare specialties reassign their Medicare billing to Fairview Health Services. A 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 the clinician's services. The largest specialties are Internal Medicine (575), Nurse Practitioner (542) and Family Practice (302). Of these, 62 practice at this address and 77 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fairview Health Services was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.