Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083152367 Individual Practitioner Female Practitioner

Angela Bennett

Pediatrics • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Angela Bennett is a registered healthcare professional specializing in Pediatrics in Fridley, MN. Practice services are available at 500 OSBORNE RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Osborne Rd Ne
Suite 215

Fridley, MN 554322765

Telephone 7632362707
Associated Practice Facility / Clinic
🏢 Daniel R Baker Md Pa Facility NPI 1700971942

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Fridley, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 1027

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1366440257 (MN)
Medicaid State Provider ID
1285887653 (MN)
Medicaid State Provider ID
1598191389 (MN)
Medicaid State Provider ID
1619938396 (MN)
Medicaid State Provider ID
1396852091 (MN)
Medicaid State Provider ID
1942317888 (MN)
Medicaid State Provider ID
1134225535 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
NPI 1023107224

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Lisa Mattson , MD

Obstetrics & Gynecology

NPI 1053394825

Doctor of Medicine (M.D.)

Jennifer Sullivan , WHNP

Nurse Practitioner - Women's Health

NPI 1053584789

Women's Health Nurse Practitioner

Jill Marrone , MS, RD, LD

Dietitian, Registered

NPI 1073935219

Master of Science, Registered Dietitian, Licensed Dietitian

NPI 1083718274

Doctor of Medicine (M.D.)

Dr. Mary Zygmunt , DO

Obstetrics & Gynecology - Gynecology

NPI 1104886407

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2017

Registered at 500 OSBORNE RD NE, SUITE 215, FRIDLEY, MN 554322765 (Tel: 7632362707)

📍
Updated Business Mailing Address February 07, 2017

Registered at 500 OSBORNE RD NE, SUITE 215, FRIDLEY, MN 554322765 (Tel: 7632362707)

👤
Provider Name / Credentials Updated February 07, 2017

Recorded as ANGELA BENNETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Pediatrics (License #1027 in MN)

🟢
Initial NPI Registration & Enumeration February 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083152367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2017
Last Update: February 07, 2017
Sole Proprietor: No

Mailing Address

500 Osborne Rd Ne, Suite 215

Fridley, MN 554322765

Phone: 7632362707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.