Active NPI 1164451787 Individual Practitioner Female Practitioner

Eileen S Moran Griggs , NP

Nurse Practitioner - Gerontology • Saint Paul, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Eileen Moran Griggs, NP is a certified Nurse Practitioner - Gerontology practicing in Saint Paul, MN. With approximately 34 years of clinical experience since completing medical education in 1992, Eileen Moran Griggs delivers high-quality medical care to the local community at 1021 BANDANA BLVD E.

Eileen Moran Griggs is affiliated with Allina Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1021 Bandana Blvd E
Suite 200

Saint Paul, MN 551085113

Telephone 6516372960

Fax 6516372961

Associated Practice Facility / Clinic

🏢 Metropolitan Pediatric Dental Associates, Ltd Facility NPI 1245389246

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +22.3 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 11.3 Yrs

Regional Practice Density

39 Specialists

Practicing in Saint Paul, MN (365 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moran Griggs (34 Years) 34 Yrs

Saint Paul Specialty Average (11.7 Years) 11.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	161	$408.50	$106.39
36415 Insertion of needle into vein for collection of blood sample	148	106	$17.00	$8.53
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	140	87	$62.60	$13.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$413.90	$108.03
83036 Hemoglobin A1C level	87	59	$45.20	$9.41
80048 Blood test, basic group of blood chemicals (calcium, total)	82	71	$39.90	$8.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	67	59	$29.40	$6.34
91322 Sarscov2 vac 50 mcg/0.5ml im	56	52	$151.40	$142.84
90480 Admn sarscov2 vacc 1 dose	56	52	$24.44	$23.53
99213 Established patient office or other outpatient visit, typically 15 minutes	53	45	$288.90	$75.48
80061 Blood test, lipids (cholesterol and triglycerides)	51	51	$63.00	$12.86
84443 Blood test, thyroid stimulating hormone (TSH)	38	37	$78.80	$16.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	26	$572.40	$148.93
82607 Cyanocobalamin (vitamin B-12) level	29	29	$70.40	$14.78
G0008 Administration of influenza virus vaccine	29	28	$27.96	$27.40
83735 Magnesium level	24	23	$30.50	$6.57
82306 Vitamin d-3 level	23	23	$137.60	$29.01
80053 Blood test, comprehensive group of blood chemicals	22	22	$49.40	$10.35
90653 Vaccine for influenza for injection into muscle	21	21	$110.00	$81.82
82728 Ferritin (blood protein) level	17	15	$64.10	$13.36
82248 Bilirubin level, direct	16	16	$23.10	$4.92
80069 Kidney function blood test panel	14	11	$39.90	$8.51
87086 Bacterial colony count, urine	13	11	$37.80	$7.91
82043 Urine microalbumin (protein) level	13	13	$27.30	$5.66
81001 Manual urinalysis test with examination using microscope, automated	13	11	$14.70	$3.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	111	$394.40	$106.99
36415 Insertion of needle into vein for collection of blood sample	142	101	$17.00	$8.40
80048 Blood test, basic group of blood chemicals (calcium, total)	82	73	$39.90	$8.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	65	62	$29.40	$6.34
80061 Blood test, lipids (cholesterol and triglycerides)	57	54	$63.00	$13.12
83036 Hemoglobin A1C level	57	52	$45.20	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$402.80	$108.70
84443 Blood test, thyroid stimulating hormone (TSH)	35	33	$78.80	$16.46
G0008 Administration of influenza virus vaccine	29	29	$27.30	$26.75
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$55.00	$53.90
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$279.70	$75.67
83735 Magnesium level	26	25	$30.50	$6.57
82607 Cyanocobalamin (vitamin B-12) level	24	24	$70.40	$14.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$556.30	$149.76
80053 Blood test, comprehensive group of blood chemicals	16	16	$49.40	$10.35
91322 Sarscov2 vac 50 mcg/0.5ml im	12	12	$151.40	$143.00
82248 Bilirubin level, direct	12	12	$23.10	$4.92
90480 Admn sarscov2 vacc 1 dose	12	12	$44.33	$27.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	155	112	$17.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	113	$378.70	$108.67
80048 Blood test, basic group of blood chemicals (calcium, total)	89	73	$38.00	$8.41
83036 Hemoglobin A1C level	59	55	$43.00	$9.49
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	49	45	$28.00	$6.44
80061 Blood test, lipids (cholesterol and triglycerides)	49	48	$60.00	$13.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$387.70	$112.62
82607 Cyanocobalamin (vitamin B-12) level	39	38	$67.00	$15.01
84443 Blood test, thyroid stimulating hormone (TSH)	36	32	$75.00	$16.71
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	27	27	$100.00	$37.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	22	$529.80	$153.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	18	$35.00	$7.72
83735 Magnesium level	20	20	$29.00	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$266.40	$77.15
82728 Ferritin (blood protein) level	16	14	$61.00	$13.58
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$208.00	$77.13
80069 Kidney function blood test panel	16	13	$38.00	$8.62
80053 Blood test, comprehensive group of blood chemicals	15	15	$47.00	$10.48
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	12	11	$25.00	$24.79
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	12	11	$229.60	$74.38
82043 Urine microalbumin (protein) level	11	11	$26.00	$5.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	246	$304.00	$110.19
36415 Insertion of needle into vein for collection of blood sample	378	227	$17.00	$2.99
80048 Blood test, basic group of blood chemicals (calcium, total)	230	174	$38.00	$8.46
83036 Hemoglobin A1C level	174	116	$43.00	$9.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	149	119	$35.00	$7.73
80061 Blood test, lipids (cholesterol and triglycerides)	144	136	$60.00	$13.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$323.00	$113.13
84443 Blood test, thyroid stimulating hormone (TSH)	86	79	$75.00	$16.80
99213 Established patient office or other outpatient visit, typically 15 minutes	75	61	$210.00	$77.77
G0008 Administration of influenza virus vaccine	72	71	$26.00	$17.00
82607 Cyanocobalamin (vitamin B-12) level	70	66	$67.00	$14.87
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	67	66	$47.91	$47.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	49	$409.00	$153.74
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	44	42	$25.00	$25.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	44	42	$229.60	$75.00
87086 Bacterial colony count, urine	44	24	$36.00	$8.07
80053 Blood test, comprehensive group of blood chemicals	42	41	$47.00	$10.56
81001 Manual urinalysis test with examination using microscope, automated	40	22	$14.00	$3.17
83735 Magnesium level	39	36	$29.00	$6.70
82728 Ferritin (blood protein) level	33	24	$61.00	$13.63
82043 Urine microalbumin (protein) level	31	31	$26.00	$5.78
80069 Kidney function blood test panel	29	18	$38.00	$8.68
82306 Vitamin d-3 level	26	25	$131.00	$29.60
85018 Blood count, hemoglobin	26	24	$11.00	$2.37
99443 Telephone medical discussion with physician, 21-30 minutes	25	22	$304.00	$110.41
82248 Bilirubin level, direct	21	21	$22.00	$5.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	16	$149.00	$45.11
84460 Liver enzyme (sgpt), level	20	18	$24.00	$5.30
69209 Removal of impacted ear wax by washing	19	17	$63.34	$13.45
0004A Fee covid-19 vac 1 res	19	19	$100.00	$40.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$476.00	$143.50
G0009 Administration of pneumococcal vaccine	16	15	$22.00	$16.99
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	16	16	$28.00	$6.47
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$190.40	$77.53
84132 Blood potassium level	15	12	$21.00	$4.76
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$59.00	$12.57
83880 Natriuretic peptide (heart and blood vessel protein) level	12	12	$151.00	$39.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	369	260	$17.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	222	$304.00	$92.54
80048 Blood test, basic group of blood chemicals (calcium, total)	241	200	$36.00	$8.42
93793 Anticoagulant management of patient taking warfarin	187	20	$40.00	$10.04
80061 Blood test, lipids (cholesterol and triglycerides)	168	157	$57.00	$13.08
83036 Hemoglobin A1C level	152	117	$41.00	$9.66
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	136	120	$33.00	$7.71
85610 Blood test, clotting time	119	25	$18.00	$4.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$326.00	$99.63
99213 Established patient office or other outpatient visit, typically 15 minutes	90	79	$208.00	$63.23
84443 Blood test, thyroid stimulating hormone (TSH)	89	81	$71.00	$16.71
G0008 Administration of influenza virus vaccine	80	76	$26.00	$16.77
99442 Telephone medical discussion with physician, 11-20 minutes	62	55	$208.00	$64.03
99443 Telephone medical discussion with physician, 21-30 minutes	62	46	$304.00	$92.91
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	61	61	$46.00	$46.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	14	$56.00	$12.24
82607 Cyanocobalamin (vitamin B-12) level	47	44	$64.00	$14.98
87086 Bacterial colony count, urine	38	26	$34.00	$8.00
80053 Blood test, comprehensive group of blood chemicals	36	31	$45.00	$10.47
81001 Manual urinalysis test with examination using microscope, automated	36	24	$13.00	$3.15
82728 Ferritin (blood protein) level	26	24	$58.00	$13.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$408.00	$124.28
80069 Kidney function blood test panel	25	18	$36.00	$8.63
G0009 Administration of pneumococcal vaccine	23	23	$22.00	$16.75
83735 Magnesium level	21	19	$28.00	$6.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$126.00	$39.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$200.00	$112.33
82044 Urine microalbumin (protein) analysis	19	17	$20.00	$6.17
99441 Telephone medical discussion with physician, 5-10 minutes	18	18	$126.00	$39.02
82043 Urine microalbumin (protein) level	18	18	$25.00	$5.78
82306 Vitamin d-3 level	18	16	$125.00	$29.40
85018 Blood count, hemoglobin	15	14	$10.00	$2.35
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$59.00	$14.54
69209 Removal of impacted ear wax by washing	15	15	$60.80	$12.69
84132 Blood potassium level	14	13	$20.00	$4.70
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$481.00	$147.01
84460 Liver enzyme (sgpt), level	13	12	$23.00	$5.27
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	13	13	$39.00	$38.76
82248 Bilirubin level, direct	12	12	$21.00	$5.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	11	11	$229.60	$100.00
83880 Natriuretic peptide (heart and blood vessel protein) level	11	11	$144.00	$38.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	555	269	$293.00	$90.65
36415 Insertion of needle into vein for collection of blood sample	474	280	$17.00	$2.94
93793 Anticoagulant management of patient taking warfarin	254	25	$39.00	$10.14
80048 Blood test, basic group of blood chemicals (calcium, total)	171	151	$35.00	$9.21
83036 Hemoglobin A1C level	169	106	$40.00	$10.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	165	128	$32.00	$8.46
85610 Blood test, clotting time	158	25	$17.00	$4.28
80061 Blood test, lipids (cholesterol and triglycerides)	114	113	$55.00	$14.58
99213 Established patient office or other outpatient visit, typically 15 minutes	111	100	$199.00	$62.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$319.00	$97.10
G0008 Administration of influenza virus vaccine	94	92	$26.00	$16.48
90653 Vaccine for influenza for injection into muscle	82	82	$43.82	$42.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	16	$67.00	$14.08
84443 Blood test, thyroid stimulating hormone (TSH)	68	60	$69.00	$18.18
81001 Manual urinalysis test with examination using microscope, automated	62	44	$13.00	$3.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	41	$396.00	$119.86
82044 Urine microalbumin (protein) analysis	45	43	$19.00	$6.11
80053 Blood test, comprehensive group of blood chemicals	41	38	$43.00	$11.51
87086 Bacterial colony count, urine	38	25	$33.00	$8.79
69209 Removal of impacted ear wax by washing	37	32	$56.49	$12.21
82607 Cyanocobalamin (vitamin B-12) level	35	34	$62.00	$16.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$470.00	$142.97
85018 Blood count, hemoglobin	32	29	$10.00	$2.58
82728 Ferritin (blood protein) level	27	24	$56.00	$14.85
99495 Transitional care management services for problem of at least moderate complexity	24	22	$534.00	$137.74
G0009 Administration of pneumococcal vaccine	24	23	$22.00	$16.48
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	21	16	$35.00	$9.42
84132 Blood potassium level	19	13	$19.00	$5.01
80069 Kidney function blood test panel	17	12	$35.00	$9.46
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	16	16	$38.00	$37.24
83735 Magnesium level	15	15	$27.00	$7.29
82306 Vitamin d-3 level	15	13	$121.00	$32.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$185.00	$110.24
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$57.00	$14.18
81003 Automated urinalysis test	14	14	$9.00	$2.44
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	11	$21.00	$17.48
82248 Bilirubin level, direct	12	11	$20.00	$5.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	418	195	$275.00	$90.09
36415 Insertion of needle into vein for collection of blood sample	311	193	$17.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	95	80	$186.00	$61.32
83036 Hemoglobin A1C level	95	56	$40.00	$11.75
85610 Blood test, clotting time	88	16	$16.00	$4.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	87	79	$32.00	$9.40
93793 Anticoagulant management of patient taking warfarin	76	25	$38.00	$10.11
G0008 Administration of influenza virus vaccine	66	65	$26.00	$20.39
90653 Vaccine for influenza for injection into muscle	59	59	$40.95	$39.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$284.00	$97.91
81001 Manual urinalysis test with examination using microscope, automated	38	23	$13.00	$3.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$373.00	$121.00
82044 Urine microalbumin (protein) analysis	30	29	$19.00	$6.11
85018 Blood count, hemoglobin	30	23	$10.00	$2.87
G0009 Administration of pneumococcal vaccine	26	26	$22.00	$20.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	12	$79.00	$17.43
69209 Removal of impacted ear wax by washing	22	20	$49.14	$12.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$421.00	$143.11
99495 Transitional care management services for problem of at least moderate complexity	15	14	$511.00	$138.01
90670 Pneumococcal vaccine for injection into muscle	13	13	$369.00	$199.13
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$185.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	392	179	$275.00	$89.28
36415 Insertion of needle into vein for collection of blood sample	281	158	$17.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	113	83	$32.00	$10.45
85610 Blood test, clotting time	103	14	$16.00	$5.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	98	19	$51.00	$17.15
99213 Established patient office or other outpatient visit, typically 15 minutes	92	73	$186.00	$61.23
83036 Hemoglobin A1C level	80	45	$40.00	$13.05
G0008 Administration of influenza virus vaccine	74	70	$26.00	$25.39
90653 Vaccine for influenza for injection into muscle	60	60	$38.00	$37.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$284.00	$96.88
81001 Manual urinalysis test with examination using microscope, automated	38	29	$13.00	$4.26
69209 Removal of impacted ear wax by washing	28	26	$55.39	$11.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	25	$373.00	$116.33
82044 Urine microalbumin (protein) analysis	24	23	$19.00	$6.15
G0009 Administration of pneumococcal vaccine	21	21	$22.00	$21.56
99495 Transitional care management services for problem of at least moderate complexity	19	18	$511.00	$136.94
85018 Blood count, hemoglobin	18	16	$10.00	$3.04
90670 Pneumococcal vaccine for injection into muscle	16	16	$369.00	$188.08

Medical Specialties & State Licenses

CMS Verified: 2021-03-11

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License MN R1276354

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

070723600 (MN)

Hospital & Practice Group Affiliations

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Practice Associates & Co-Workers

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

4 Associated Practitioners

Teresa Kiresuk , NP

Nurse Practitioner - Gerontology

NPI 1093750499

Nurse Practitioner

Nancy Schultz , NP

Nurse Practitioner - Gerontology

NPI 1346278579

Nurse Practitioner

Linda Starks , NP

Nurse Practitioner

NPI 1891901807

Nurse Practitioner

Judith Johnson , NP

Nurse Practitioner - Gerontology

NPI 1932135845

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated December 21, 2020

Recorded as EILEEN MORAN GRIGGS, NP

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 551085113 (Tel: 6516372960)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 551085113 (Tel: 6516422700)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as EILEEN MORAN, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #R1276354 in MN)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164451787

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: March 11, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1021 Bandana Blvd E, Suite 200

Saint Paul, MN 551085113

Phone: 6516422700

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

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