Organization Active NPI

Patient'S Choice Wellness Clinic

  • Clinic/Center
  • Albert Lea, MN
National Provider Identifier
1053197822
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PATIENT'S CHOICE WELLNESS CLINIC
Practice address
904 1/2 E Plaza St
Albert Lea, MN 56007-2044
Phone
(507) 821-1051
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Calderon, APRN/CNPNPI 1174066237
Title
Owner
Phone
(507) 951-6957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

904 1/2 E Plaza St
Albert Lea, MN 56007-2044

Mailing address

904 1/2 E Plaza St
Albert Lea, MN 56007-2044
Phone (507) 951-6957

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2289970Patient'S Choice Wellness Clinic PLLC904 1/2 E Plaza St, Albert Lea, MN 56007Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

904 E Plaza St
Albert Lea, MN 56007
Phone (507) 373-6133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1053197822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 1/2 E PLAZA ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072044",
            "telephone_number": "507-951-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 1/2 E PLAZA ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072044",
            "telephone_number": "507-821-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT'S CHOICE WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-951-6957",
        "authorized_official_credential": "APRN/CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.