Fairview Clinics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAIRVIEW CLINICS

Practice address

6320 Wedgewood Rd N
Maple Grove, MN 55311-3647

Phone

(763) 268-0400

Fax

(763) 268-0405

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Maureen V Ring

Title

Sys Dir Govt Reimb & Netwk Rel

Phone

(612) 672-6740

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairview Clinics-Bass Lake Doing business as

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 69

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

• Jeffrey Charles Ames, MD

  • Body Imaging Physician
  • Minneapolis, MN
  • NPI 1861810129
  NPD
• Dina M Andreotti, MD

  • Family Medicine Physician
  • Oakdale, MN
  • NPI 1437134541
  NPD
• Tori Bahr, MD

  • Pediatrics Physician
  • Saint Paul, MN
  • NPI 1790195923
  NPD
• Lisa Ann Bishop, MBCHB

  • Pediatric Adolescent Medicine Physician
  • Andover, MN
  • NPI 1376775437
  NPD
• Anna Marie Blaufuss, PA-C

  • Physician Assistant
  • Roseville, MN
  • NPI 1831680313
  NPD
• Elena Bond, M.D.

  • Pediatrics Physician
  • Bloomington, MN
  • NPI 1659563765
  NPD
• Paula Leme Brito, MD

  • Pediatrics Physician
  • Crookston, MN
  • NPI 1508030396
  NPD
• Robert K Brownawell, D.O.

  • Surgery Physician
  • Princeton, MN
  • NPI 1063775260
  NPD
• Jessica Lee Tomlin Brunfelt, NP

  • Family Nurse Practitioner
  • Wyoming, MN
  • NPI 1609802453
  NPD
• Suzanne Kathryn Canney Nguyen, PA-C

  • Physician Assistant
  • Edina, MN
  • NPI 1811185325
  NPD
• Zuzan Cayci, M.D.

  • Nuclear Radiology Physician
  • Minneapolis, MN
  • NPI 1447414024
  NPD
• Nicole Chaisson, M.D.

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1134156359
  NPD

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1790977486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-6740",
            "fax_number": "612-884-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 WEDGEWOOD RD N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113647",
            "telephone_number": "763-268-0400",
            "fax_number": "763-268-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SYS DIR GOVT REIMB & NETWK REL",
        "authorized_official_telephone_number": "612-672-6740"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156927000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Clinics-Bass Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Clinics-Bass Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry L Evers, APNP
• Renata R Evertz, D.C.
• Hannah Mathilde Evju
• Amanda Exman, PSY.D., LP
• Gina Fabiano, LAC
• Fairview Clinics
• Fairview Express Care
• Fairview Maple Grove Surgery Center, LLC
• Fairview Maple Grove Surgery Center, LLC
• Fairview Pharmacy Services LLC

• All providers in Maple Grove, MN
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.