Active NPI
Synergy Family Physicians, P.a.
- Family Medicine Physician
- White Bear Lake, MN
National Provider Identifier
1548575434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SYNERGY FAMILY PHYSICIANS, P.A.
- Practice address
- 4422 White Bear Ave N
White Bear Lake, MN 55110-3475 - Phone
- (651) 287-8780
- Fax
- (651) 287-8786
- NPI assigned
- Aug 16, 2010
- Last updated
- Aug 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer A Carpenter, M.D.
- Title
- Owner / President
- Phone
- (651) 287-8780
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU |
Addresses
Primary practice location
4422 White Bear Ave N
White Bear Lake, MN 55110-3475
Mailing address
4422 White Bear Ave N
White Bear Lake, MN 55110-3475
Phone (651) 287-8780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
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 |
|---|---|---|---|
| 24D2012493 | Synergy Family Physicians | Provider-performed microscopy | Sep 2, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
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.
-
- Family Medicine Physician
- White Bear Lake, MN
- NPI 1245205301
-
- Family Nurse Practitioner
- Cottage Grove, MN
- NPI 1750169322
-
- Family Medicine Physician
- White Bear Lake, MN
- NPI 1992772354
-
- Family Nurse Practitioner
- White Bear Lake, MN
- NPI 1669662912
-
- Nurse Practitioner
- Saint Paul, MN
- NPI 1013995570
-
- Nutritionist
- White Bear Lake, MN
- NPI 1275933715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281916800000",
"number": "1548575434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 WHITE BEAR AVE N",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103475",
"telephone_number": "651-287-8780",
"fax_number": "651-287-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 WHITE BEAR AVE N",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103475",
"telephone_number": "651-287-8780",
"fax_number": "651-287-8786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY FAMILY PHYSICIANS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-16",
"last_updated": "2010-08-16",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER / PRESIDENT",
"authorized_official_telephone_number": "651-287-8780",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 16, 2010; 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.