NPIMap

Hennepin County

A Medicare group practice based in Minneapolis, MN: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 7911892849), with 195 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911892849The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
15
Group size
132 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
28In 1 place

Enrollment records 15

Enrollment IDStateProvider typeNPI
O20040218001012 MN Part B Supplier - Clinic/Group Practice 1780790345
O20050919000937 MN Part A Provider - Federally Qualified Health Center (FQHC) 1215951751
O20110113000505 MN Part A Provider - Federally Qualified Health Center (FQHC) 1831408988
O20110113000364 MN Part A Provider - Federally Qualified Health Center (FQHC) 1205145448
O20221010001050 MN Part A Provider - Federally Qualified Health Center (FQHC) 1962147413
O20181205002698 MN Part A Provider - Federally Qualified Health Center (FQHC) 1972685568
O20190205002653 MN Part A Provider - Federally Qualified Health Center (FQHC) 1992276000
O20190131002263 MN Part A Provider - Federally Qualified Health Center (FQHC) 1679044788
O20190205000684 MN Part A Provider - Federally Qualified Health Center (FQHC) 1891266862
O20190205002099 MN Part A Provider - Federally Qualified Health Center (FQHC) 1083185193
O20190205001680 MN Part A Provider - Federally Qualified Health Center (FQHC) 1619448685
O20160321001263 MN Part A Provider - Federally Qualified Health Center (FQHC) 1083083752
O20160824001402 MN Part A Provider - Federally Qualified Health Center (FQHC) 1154774925
O20170309000187 MN Part A Provider - Federally Qualified Health Center (FQHC) 1447619929
O20141014000365 MN Part A Provider - Federally Qualified Health Center (FQHC) 1053729897

NPIs in this group 19

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 195

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (194) or whom Care Compare lists as members (132).

Sources for this page