MH 101 at Lake Region Brooklyn Park – Physician Assistant, NPI 1265773287

MH 101 at Lake Region Brooklyn Park is a healthcare provider. based in Winooski, Vermont. specializing in Physician Assistant. They hold a License No. PF 1727 (MN). The NPI Number for MH 101 at Lake Region Brooklyn Park is 1265773287

Main info

Organization
Inactive
Name
MH 101 at Lake Region Brooklyn Park
NPI
1265773287
Phone
(802) 857-0400
Address
PO BOX 5
Deactivation Date
20 October 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness80
Years active:0State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for MH 101 at Lake Region Brooklyn Park

  • PO BOX 5

    WINOOSKI, VT 054040005

    Phone: (802) 857-0400

    Type: Mailing

  • 6420 ZANE AVE N

    C/O LAKE REGION EMPLOYEE HEALTH CENTER

    BROOKLYN PARK, MN 554294168

    Phone: (763) 531-4675

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 05404)

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Reviews

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Frequently asked questions

Is MH 101 at Lake Region Brooklyn Park listed with a National Provider Identifier?
Yes — MH 101 at Lake Region Brooklyn Park has NPI 1265773287 on file in the registry.
Is MH 101 at Lake Region Brooklyn Park still active if the NPI shows inactive?
NPPES shows MH 101 at Lake Region Brooklyn Park as inactive; dates on the record explain the timeline when available.
What kind of doctor is MH 101 at Lake Region Brooklyn Park?
MH 101 at Lake Region Brooklyn Park is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MH 101 at Lake Region Brooklyn Park?
Directory geography for MH 101 at Lake Region Brooklyn Park centers on Winooski, Vermont.
Can I trust this NPI listing for MH 101 at Lake Region Brooklyn Park?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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