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GREGORY ALLEN PA-C
NPI 1972037059
Physician Assistant - Surgical in St Louis Park, MN

Active since April 17, 2017PECOS Enrolled
5775 WAYZATA BLVD STE 140, ST LOUIS PARK, MN 55416(952) 738-4498 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory Allen Pa-c NPPES

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

GREGORY ALLEN PA-C (NPI 1972037059) is an individual surgical provider in St Louis Park, Minnesota and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972037059
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameGREGORY ALLENCredential: PA-C
Location Address5775 WAYZATA BLVD STE 140St Louis Park, MN 55416-2660
Mailing Address9676 Geisler RdEden Prairie, MN 55347-3562 · (612) 703-5541
Phone(952) 738-4498
Sole ProprietorNo
Enumeration DateApril 17, 2017
✔ NPI 1972037059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
5775 WAYZATA BLVD STE 140, St Louis Park, MN 55416
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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)

Gregory Allen Pa-c 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 2

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

SANDRA J BARTZ RN, CNP
Nurse Practitioner (Family)
5775 WAYZATA BLVD STE 140
ST LOUIS PARK, MN 55416
Hennepin County (952) 738-4477
MR. NATHAN PATRICK BRAUN RPA
Radiology Practitioner Assistant
5775 WAYZATA BLVD STE 140
MINNEAPOLIS, MN 55416
Hennepin County (952) 738-4477

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 Gregory Allen's NPI number?

The NPI number for Gregory Allen is 1972037059. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Gregory Allen located?

Gregory Allen practices at 5775 Wayzata Blvd Ste 140, St Louis Park, MN 55416. The listed phone number is (952) 738-4498.

What is Gregory Allen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Gregory Allen enrolled in Medicare?

Yes. Gregory Allen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Allen was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.