Active NPI
Aalfa Family Practice PA
- Internal Medicine Physician
- White Bear Lake, MN
On this page
- Key facts
- Authorized official
- Practitioners10
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers1
- Other names1
- NPI Registry JSON
- Other providers in White Bear Lake, MN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- == =======
- Legal business name
- AALFA FAMILY PRACTICE PA
- Practice address
- 4465 White Bear Pkwy
White Bear Lake, MN 55110-7626 - Phone
- (651) 653-0062
- Fax
- (651) 653-0288
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Paul J Spencer, DO
- Title
- President
- Phone
- (651) 653-0062
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- White Bear Lake, MN
- NPI 1376544650
Family Medicine, MN
-
- Family Medicine Physician
- White Bear Lake, MN
- NPI 1871605253
Family Medicine, MN
-
- Family Medicine Physician
- White Bear Lake, MN
- NPI 1598766875
Family Medicine, MN
-
- Internal Medicine Physician
- White Bear Lake, MN
- NPI 1194726554
Internal Medicine, MN
-
- Obstetrics & Gynecology Physician
- White Bear Lake, MN
- NPI 1689169989
MN, Single Specialty
-
- Obstetrics & Gynecology Physician
- White Bear Lake, MN
- NPI 1356791271
MN, Single Specialty
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0399412 | Aalfa Family Practice, PA | Provider-performed microscopy | Oct 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041217000387 | MN | Part B Supplier - Clinic/Group Practice | 7810954146 |
Receives reassigned benefits from 10 practitioners Practice locations: White Bear Lake, MN |
National Provider Directory
National Provider DirectoryLocations
600 County Road D W
Ste 11
New Brighton, MN 55112
Phone (651) 635-1500
4465 White Bear Pkwy
Ste 1
White Bear Lake, MN 55110
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | == ======= | MN | |
| Internal Medicine Physician | 207R00000X | == ======= | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4465 White Bear Pkwy
White Bear Lake, MN 55110-7626
Mailing address
4465 White Bear Pkwy
White Bear Lake, MN 55110-7626
Phone (651) 653-0062
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 933350900 | Medicaid | MN |
Other names 1
NPPES NPI Registry- AALFA Family Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2026.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1437150877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 WHITE BEAR PKWY",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551107626",
"telephone_number": "651-653-0062",
"fax_number": "651-653-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 WHITE BEAR PKWY",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551107626",
"telephone_number": "651-653-0062",
"fax_number": "651-653-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AALFA FAMILY PRACTICE PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-653-0062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MN",
"license": "== =======",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MN",
"license": "== =======",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "933350900",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AALFA Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 9, 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.