SALLY H. ENGEBRETSON DO – NPI #1316900590
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

SALLY ENGEBRETSON is a physician located in PLYMOUTH, MN. NPPES has assigned the NPI number 1316900590 to SALLY ENGEBRETSON on April 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name SALLY JEANNIE HOLMES. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 4 years ago on Nov 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SALLY ENGEBRETSON below.

NPI Profile for
SALLY H. ENGEBRETSON

NPI Number
1316900590
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SALLY H. ENGEBRETSON
Former Name: SALLY JEANNIE HOLMES
Credentials
DO
Primary location
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446-4003
Phone: (763) 587-7900 Fax: (763) 587-7701
Mailing address
9201 W BROADWAY AVE STE 601
BROOKLYN PARK, MN 55445-1924
Phone: (763) 587-7900 Fax: (763) 587-7701
Sole Proprietor
No
Updated
Certification Date
Nov 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SALLY ENGEBRETSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMN532434300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
MN 43959

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
15655 37TH AVE N STE 100,
PLYMOUTH, MN 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SALLY ENGEBRETSON is affiliated with the following medical group(s):
  • HOSPITAL
    • ABBOTT NORTHWESTERN HOSPITAL
      800 EAST 28TH STREET
      MINNEAPOLIS, MN 55407
    • NORTH MEMORIAL HEALTH HOSPITAL
      3300 OAKDALE NORTH
      ROBBINSDALE, MN 55422

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.