MINNESOTA NEUROREHABILITATION INSTITUTE, PLLC – Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1083253991
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MINNESOTA NEUROREHABILITATION INSTITUTE, PLLC
115 LUCE LINE RDG
ORONO, MN 553599691
Phone: (612) 850-8278
Type: Mailing
12805 HWY 55 STE 304
PLYMOUTH, MN 554413826
Phone: (612) 850-8278
Type: Location
4428 BROOKSIDE AVE
EDINA, MN 554361507
Phone: (612) 850-8278
Type: Mailing
7400 METRO BLVD STE 400
EDINA, MN 554392326
Phone: (612) 999-1908
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (284 days ago).
Enrollment records
1
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200402000351 | O | Clinic/Group Practice | MN | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 55359)
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