Northstar Regional
A Medicare group practice based in Chaska, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8921346669), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8921346669
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
- Enrolled in
- MN
- Enrollments
- 2
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20190205001882 | MN | Part B Supplier - Independent Clinical Laboratory | 1508349234 |
| O20190228000530 | MN | Part B Supplier - Clinic/Group Practice | 1659764587 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northstar Regional
- Clinical Medical Laboratory
- Shakopee, MN
- NPI 1508349234
-
Northstar Regional
- Substance Use Disorder Rehabilitation Clinic/Center
- Chaska, MN
- NPI 1659764587
Practice locations
- Shakopee, MN1
- Chaska, MN1
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (7).
-
Carmen Barnes, LICSW
- Clinical Social Worker
- Shakopee, MN
- NPI 1689928871
-
Harold Baumchen, PSY. D, L.P.
- Clinical Psychologist
- Chanhassen, MN
- NPI 1700811866
-
Kevin H Blonigen, M.A., L.P.
- Psychologist
- Shakopee, MN
- NPI 1578637534
-
Stephanie Brey, LPCC
- Mental Health Counselor
- Otsego, MN
- NPI 1366070070
-
Elena Fosness, LMFT
- Marriage & Family Therapist
- Hilo, HI
- NPI 1902300783
-
Karissa Joy Godel, LPCC
- Mental Health Counselor
- Shakopee, MN
- NPI 1033598396
-
Linda June Johnson, L.P.
- Psychologist
- Shakopee, MN
- NPI 1063638427
-
Penny Christine Kaiser, LICSW
- Professional Counselor
- Chaska, MN
- NPI 1659137065
-
Jacquelyn Lee Kerkow-Dohmen, LICSW
- Clinical Social Worker
- Shakopee, MN
- NPI 1174186738
-
Rasha Stephens Kowalewski, LADC, LPCC
- Professional Counselor
- Chaska, MN
- NPI 1538464888
-
Daniel L Snyder, PSYD., LP
- Clinical Psychologist
- Shakopee, MN
- NPI 1366477457
-
Molly Stommes
- Nurse Practitioner
- Chaska, MN
- NPI 1811349004
-
Brittany Werre, LICSW
- Clinical Social Worker
- Shakopee, MN
- NPI 1851050405
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.