Avery Macintosh
NPI 1609633510 · Physician Assistant · Mahtomedi, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avery Macintosh is a Physician Assistant provider in Mahtomedi, MN (NPI 1609633510).
Provider details
- NPI number
- 1609633510
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-06
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Frequently asked questions
- What is Avery Macintosh's NPI number?
- Avery Macintosh's National Provider Identifier (NPI) is 1609633510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Avery Macintosh's specialty?
- Avery Macintosh is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Avery Macintosh located?
- Avery Macintosh's practice location on file with NPPES is 1040 Summit Ave, Mahtomedi, MN 55115-1544.
- What is Avery Macintosh's phone number?
- The practice phone number listed in the NPPES registry for Avery Macintosh is (651) 815-3171.
- Does Avery Macintosh accept Medicare?
- Avery Macintosh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Avery Macintosh's NPI active?
- Yes — Avery Macintosh's NPI (1609633510) is active in the NPPES registry as of the last update on 2024-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.