Intrepid of Minnesota, Inc.
NPI 1710653977 · Hospice and Palliative Medicine (Family Medicine) Physician · Roseville, MN
Intrepid of Minnesota, Inc. is a Hospice and Palliative Medicine (Family Medicine) Physician organization in Roseville, MN (NPI 1710653977).
Provider details
- NPI number
- 1710653977
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Mcmullen, Coo(214) 445-3750
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Other names (DBA / former)
- Doing business as
- Intrepid USA Palliative & Supportive Care
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2021-08-18
- Certified
- 2021-08-18
Frequently asked questions
- What is Intrepid of Minnesota, Inc.'s NPI number?
- Intrepid of Minnesota, Inc.'s National Provider Identifier (NPI) is 1710653977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intrepid of Minnesota, Inc.?
- Intrepid of Minnesota, Inc. is classified in the NPPES registry as Hospice and Palliative Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Intrepid of Minnesota, Inc. located?
- Intrepid of Minnesota, Inc.'s practice location on file with NPPES is 2277 Highway 36 W Ste 316a, Roseville, MN 55113-3804.
- What is Intrepid of Minnesota, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Intrepid of Minnesota, Inc. is (651) 633-6404.
- Who is the authorized official for Intrepid of Minnesota, Inc.?
- The authorized official listed on Intrepid of Minnesota, Inc.'s NPPES record is Paul Mcmullen, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intrepid of Minnesota, Inc.'s NPI active?
- Yes — Intrepid of Minnesota, Inc.'s NPI (1710653977) is active in the NPPES registry as of the last update on 2021-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.