AUSTIN DAVID PROMERSBERGER
NPI 1629707567
Student in an Organized Health Care Education/Training Program in Minneapolis, MN
About Austin David Promersberger NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUSTIN DAVID PROMERSBERGER (NPI 1629707567) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (33446) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Austin David Promersberger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Austin Promersberger's NPI number?
The NPI number for Austin Promersberger is 1629707567. It was assigned to this individual provider in the NPPES registry on June 7, 2022.
Where is Austin Promersberger located?
Austin Promersberger practices at 420 Delaware Street SE Mmc 292, Minneapolis, MN 55455. The listed phone number is (612) 626-5589.
What is Austin Promersberger's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Austin Promersberger enrolled in Medicare?
Yes. Austin Promersberger is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Austin Promersberger was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Austin David Promersberger · NPI 1629707567
Student in an Organized Health Care Education/Training Program provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1629707567 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 33446 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 DELAWARE STREET SE, MMC 292, Minneapolis, MN 55455
- **Phone:** (612) 626-5589
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** April 27, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1629707567) · Data from the CMS NPPES public registry.