Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Gardeen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255994984

Samantha Gardeen is a Dermatology in St Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 2019, 7 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Ave South, Minneapolis, MN 55415 — (612) 873-6963

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 74551 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MN)

Record details

NPI number1255994984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2019
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in St Louis Park