NPIMap

Organization Active NPI

Rise Up Health Clinics

  • Clinic/Center
  • White Bear Lake, MN
National Provider Identifier
1063094878
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RISE UP HEALTH CLINICS
Practice address
5045 Division Ave
White Bear Lake, MN 55110-2663
Phone
(651) 653-2923
NPI assigned
Apr 22, 2021
Last updated
Feb 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
RISE UP HEALTH CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Dr. Jessica Miehe, DNP
Title
Clinic Director
Phone
(651) 653-2923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

5045 Division Ave
White Bear Lake, MN 55110-2663

Mailing address

5045 Division Ave
White Bear Lake, MN 55110-2663
Phone (651) 653-2923

Other names 1

  • Bear Care Health and Wellness Clinic Former legal business name

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
24D2181663Rise Up Health Clinics5045 Division Ave, White Bear Lake, MN 55110Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory
Part of
Rise Up Health Clinics

Locations

5045 Division Ave
White Bear Lake, MN 55110
Phone (516) 653-2923

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1063094878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 DIVISION AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102663",
            "telephone_number": "651-653-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 DIVISION AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102663",
            "telephone_number": "651-653-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP HEALTH CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RISE UP HEALTH CLINICS",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "MIEHE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "651-653-2923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Care Health and Wellness Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.