Park Nicollet Clinic

A Medicare group practice based in St Louis Park, MN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 7911819438), with 2,735 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911819438The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
1
Group size
1,778 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
38In 22 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20031104000046 MN Part B Supplier - Clinic/Group Practice 1780621904

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 2,735

Page 1 of 28

Clinicians who reassign their Medicare benefits to this group (2,726) or whom Care Compare lists as members (1,778).

Sources for this page