ROBERTA VAN AMBER PRIGGE
NPI 1639102825
Family Medicine - Sports Medicine in Maple Grove, MN
About Roberta Van Amber Prigge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERTA VAN AMBER PRIGGE (NPI 1639102825) is an individual sports medicine provider in Maple Grove, Minnesota, licensed in Minnesota (39190) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Ely.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Roberta Van Amber Prigge 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
2Medicare enrollment records show Roberta Prigge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn Park, MN 55445
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 693 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55369 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.
MAPLE GROVE, MN 55369
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 Roberta Prigge's NPI number?
The NPI number for Roberta Prigge is 1639102825. It was assigned to this individual provider in the NPPES registry on July 9, 2006.
Where is Roberta Prigge located?
Roberta Prigge practices at 9555 Upland Ln N, Maple Grove, MN 55369. The listed phone number is (952) 831-8742.
What is Roberta Prigge's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Roberta Prigge enrolled in Medicare?
Yes. Roberta Prigge 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 Roberta Prigge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Prigge reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (Brooklyn Park, MN) and Tria Orthopaedic Center LLC (Bloomington, 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 Roberta Prigge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roberta Prigge accept?
Health plans from HealthPartners list Roberta Prigge 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 Roberta Prigge affiliated with any hospitals?
According to CMS data, Roberta Prigge is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Roberta Prigge was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Roberta Van Amber Prigge · NPI 1639102825
Sports Medicine physician in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1639102825 (Entity type: Individual)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 39190 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 9555 UPLAND LN N, Maple Grove, MN 55369-4485
- **Phone:** (952) 831-8742
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Clinic (NPI 1447668678, Brooklyn Park, MN); Tria Orthopaedic Center LLC (NPI 1346624384, Bloomington, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1995
## Record status
- **NPPES last updated:** March 11, 2021
- **Other identifiers:** Medicaid 795820000 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639102825) · Data from the CMS NPPES public registry.