IndividualActive
Mark Leefeldt, O.A.
NPI 1790764660 · Physician Assistant · St Louis Park, MN
Provider details
- NPI number
- 1790764660
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- O.A.
- Sex
- Male
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
6490 Excelsior Blvd
Ste E400
St Louis Park, MN 55426-4705
Phone: (952) 993-3230
Street-level locationGet directions
Mailing address
6465 Wayzata Blvd
St Louis Park, MN 55426-1728
Registry dates
- Enumerated
- 2006-01-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.