MN UC Providers LTD

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MN UC PROVIDERS LTD

Practice address

13540 Grove Dr N
Maple Grove, MN 55311-4400

Phone

(952) 931-1276

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

Thomas Randall Stevens

Title

Center Director

Phone

(952) 931-1276

Specialties & licenses 1

Addresses

Other names 1

• AFC Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• MN UC Providers LTD

  • Urgent Care Clinic/Center
  • Hopkins, MN
  • NPI 1871265074

  O20220812001558

  Same enrollment

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

• Paul C Allegra, MD

  • Emergency Medicine Physician
  • Zimmerman, MN
  • NPI 1013030097
  NPD
• Abigail Ann Baillif, CNP

  • Family Nurse Practitioner
  • Brainerd, MN
  • NPI 1295305662
  NPD
• Elizabeth Bennett, PA

  • Physician Assistant
  • Woodbury, MN
  • NPI 1649446493
  NPD
• Trishelle Brungard, PA-C

  • Physician Assistant
  • Hopkins, MN
  • NPI 1669297776
  NPD
• Jeremiah Dagel, PA

  • Physician Assistant
  • Detroit Lakes, MN
  • NPI 1366802290
  NPD
• Patrick K Denman, PA-C

  • Physician Assistant
  • Plymouth, MN
  • NPI 1164759528
  NPD
• Ariel Esther Eason, PA-C

  • Physician Assistant
  • Saint Paul, MN
  • NPI 1043451339
  NPD
• Ashley Ann Ferrara, MSN, APRN, CNP

  • Family Nurse Practitioner
  • Hopkins, MN
  • NPI 1326621731
  NPD
• Dominique Franz, PA-C

  • Physician Assistant
  • Vadnais Heights, MN
  • NPI 1366011546
  NPD
• Kelly Frasier, CNP

  • Family Nurse Practitioner
  • Blaine, MN
  • NPI 1821642323
  NPD
• Brianna Galang, PA-C

  • Physician Assistant
  • Zimmerman, MN
  • NPI 1295514644
  NPD
• Teresa L. Hamiel, PAC

  • Physician Assistant
  • Hutchinson, MN
  • NPI 1942252986
  NPD

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

CLIA laboratory certificates

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1891479945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010412017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 GROVE DR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114400",
            "telephone_number": "952-931-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN UC PROVIDERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "952-931-1276"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabella Miranda-Reyes
• Miso Dentistry, PC
• Priya Nmi Mitra
• MKMD Neurosurgery, PLLC
• MN Spectrum Solutions
• Gabrielle Diane Mocchi, D.C.
• Modern Ketamine Clinic
• Modern Point Acupuncture
• Kristin Lee Moen, MA, LPCC
• Maryam Lee Moghaddam, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.