Minnesota Center for Obesity, Metabolism & Endocrinology, PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

1591 Issued in MN

Legal business name

MINNESOTA CENTER FOR OBESITY, METABOLISM & ENDOCRINOLOGY, PA

Practice address

1185 Town Centre Dr
Suite 220
Eagan, MN 55123-1187

Phone

(651) 379-1600

Fax

(651) 379-1650

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Gonzalez-Campoy, MDNPI 1720033640

Title

Ceo

Phone

(651) 379-1600

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• MNCOME, PA Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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

• Joseph Michael Gonzalez-Campoy, M.D., PH.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Eagan, MN
  • NPI 1720033640

  Endocrinology, Diabetes & Metabolism, MN

  Medicare reassignment Care Compare group NPD Authorized official
• Bronwyn Lissa Knaebe, RD

  • Metabolic Nutrition Registered Dietitian
  • Eagan, MN
  • NPI 1821594656

  MN

  Medicare reassignment Care Compare group NPD
• Bruce Wiles Richardson, MD

  • Family Medicine Physician
  • Eagan, MN
  • NPI 1699736066

  Family Medicine, MN

  Medicare reassignment Care Compare group NPD
• Virginia Otey Villarreal, RN, CNP, FNP-BC

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1518583590

  MN

  Medicare reassignment NPD
• Catherine Bemis Proebstle, MSN RNCFNP

  • Family Nurse Practitioner
  • Burnsville, MN
  • NPI 1568456168
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1164477709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 TOWN CENTRE DR",
            "address_2": "SUITE 220",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231187",
            "telephone_number": "651-379-1600",
            "fax_number": "651-379-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 TOWN CENTRE DR",
            "address_2": "SUITE 220",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231187",
            "telephone_number": "651-379-1600",
            "fax_number": "651-379-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA CENTER FOR OBESITY, METABOLISM & ENDOCRINOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-CAMPOY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-379-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "1591",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MN",
            "license": "1591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB4333",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410654700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "96386",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "165867H314",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "547S0MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C03334",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MNCOME, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marsha Katherine Millonig, BS, MBA
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• Morgan Minnick

• All providers in Eagan, MN
• Endocrinology, Diabetes & Metabolism Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.