CARRIE E FLANAGAN (MD) – Otolaryngology Physician, NPI 1104962851

CARRIE E FLANAGAN (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 17536 (MN). The NPI Number for CARRIE E FLANAGAN (MD) is 1104962851

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE E FLANAGAN (MD)
NPI
1104962851
Phone
(612) 625-7634
Address
420 DELAWARE ST SE
Enumeration Date
29 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
4047787525
Graduation Year
2004 (22 years ago)
PAC ID
6002051877
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20130617000641
Address ID
GA303221013AT1365XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

273 OTOLARYNGOLOGY in MN

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Provider Addresses for CARRIE E FLANAGAN (MD)

  • Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States

    MMC 293

    MINNEAPOLIS, MN 554550341

    Phone: (612) 625-7634

    Type: Location

  • 559, Desnoyer Avenue, Desnoyer Park, Union Park, Saint Paul, Ramsey County, Minnesota, 55114, United States

    SAINT PAUL, MN 551044917

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-01-06 • Largest payer in this snapshot: KARL STORZ Endoscopy-America ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130617000641IOtolaryngologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile

Reviews

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Frequently asked questions

Is CARRIE E FLANAGAN (MD) listed with a National Provider Identifier?
Yes — CARRIE E FLANAGAN (MD) has NPI 1104962851 on file in the registry.
Is there an active status for CARRIE E FLANAGAN (MD)?
For scheduling context, CARRIE E FLANAGAN (MD) is shown as active in the registry.
What expertise is attributed to CARRIE E FLANAGAN (MD)?
CARRIE E FLANAGAN (MD)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CARRIE E FLANAGAN (MD)?
Travel planning: use Minneapolis, Minnesota as the reference point for CARRIE E FLANAGAN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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