DR. AUDRA L MINTZ (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1124215132

DR. AUDRA L MINTZ (DPM) is a healthcare provider. based in Anoka, Minnesota. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 832 (MN). The NPI Number for DR. AUDRA L MINTZ (DPM) is 1124215132

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. AUDRA L MINTZ (DPM)
NPI
1124215132
Phone
(763) 587-4200
Address
601 JACOB LN
Enumeration Date
3 October 2007
Last Update Date
27 October 2021

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
6124272200
Graduation Year
2007 (19 years ago)
PAC ID
3779767819
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20110413000946
Address ID
MN554332522CO4050XNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

232 PODIATRY in MN

Provider Addresses for DR. AUDRA L MINTZ (DPM)

  • 601 JACOB LN

    ANOKA, MN 553031776

    Phone: (763) 587-4200

    Fax: (763) 587-4205

    Type: Location

  • 1833 2ND AVE S - MAIL STOP 39300A

    RIVERWAY CLINIC - ANOKA

    ANOKA, MN 553032432

    Phone: (763) 587-4400

    Fax: (763) 587-4205

    Type: Location

  • 33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States

    MS 21110Q

    BLOOMINGTON, MN 554254516

    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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

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: 2011-04-13

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
I20110413000946IPodiatryMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8239$0
73630X-ray of foot, minimum of 3 views3727$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
99213Established patient office or other outpatient visit, 20-29 minutes2916$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 55303)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. AUDRA L MINTZ (DPM)?
Save NPI 1124215132 if you need a stable reference for DR. AUDRA L MINTZ (DPM).
Is DR. AUDRA L MINTZ (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. AUDRA L MINTZ (DPM) work in?
You can think of DR. AUDRA L MINTZ (DPM) as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Does DR. AUDRA L MINTZ (DPM) practice in Minnesota?
You will see Anoka, Minnesota on file for DR. AUDRA L MINTZ (DPM) alongside any extra practice locations.
Is DR. AUDRA L MINTZ (DPM) a real provider?
This page reflects official NPPES data for NPI 1124215132. Always confirm identity and privileges with the practice and licensing boards.

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