Northwest Family Clinics - Medicare Primary Care in Crystal, MN

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Northwest Family Clinics is a medicare enrolled primary clinic (Family Medicine) in Crystal, Minnesota. The current practice location for Northwest Family Clinics is 5502 W Broadway Ave, Suite 200, Crystal, Minnesota. For appointments, you can reach them via phone at (763) 504-6500. The mailing address for Northwest Family Clinics is 5700 Bottineau Blvd., Suite 100, Crystal, Minnesota and phone number is (763) 504-6500.

Northwest Family Clinics is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548366867. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (763) 504-6500.

Contact Information

Northwest Family Clinics
5502 W Broadway Ave
Suite 200
Crystal
MN 55428-3508
(763) 504-6500
(763) 504-6544

Map and Direction


Primary Care Clinic Profile

Full NameNorthwest Family Clinics
SpecialityFamily Medicine
Location5502 W Broadway Ave, Crystal, Minnesota
Authorized Official Name and PositionChris A Stuart (DOCTOR)
Authorized Official Contact7635046500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northwest Family Clinics
5700 Bottineau Blvd.
Suite 100
Crystal
MN 55429

Ph: (763) 504-6500		Northwest Family Clinics
5502 W Broadway Ave
Suite 200
Crystal
MN 55428-3508

Ph: (763) 504-6500

NPI Details:

NPI Number1548366867
Provider Enumeration Date09/15/2006
Last Update Date10/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0042102956
Medicare Enrollment IDO20040326000077

Medical Identifiers

Medical identifiers for Northwest Family Clinics such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548366867NPI-NPPES
469208000MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northwest Family Clinics acts as a billing entity for following providers:
Provider NameKristine L Eskuchen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194716639
PECOS PAC ID: 3577468156
Enrollment ID: I20031205000477
Provider NameJoel A Sagedahl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235110347
PECOS PAC ID: 2264334861
Enrollment ID: I20040123000659
Provider NameChristopher A Darnell
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1245204627
PECOS PAC ID: 6305806183
Enrollment ID: I20041015000419
Provider NameJoy L Westerdahl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922089937
PECOS PAC ID: 1951293802
Enrollment ID: I20050523000184
Provider NameDavid C Sandell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568453926
PECOS PAC ID: 4385670371
Enrollment ID: I20050712000028
Provider NameJonathan C Tallman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861467227
PECOS PAC ID: 8820013519
Enrollment ID: I20051012000020
Provider NameScott A Reichel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669577417
PECOS PAC ID: 9537167861
Enrollment ID: I20061121000650
Provider NameKristen L Coulter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134397813
PECOS PAC ID: 2567549843
Enrollment ID: I20080410000649
Provider NameJennifer J Riley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316111768
PECOS PAC ID: 7719057587
Enrollment ID: I20080605000262
Provider NameNimalka P Jayatilleka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982803334
PECOS PAC ID: 1456428341
Enrollment ID: I20080918000159
Provider NameHolly M Stenzel Taynton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578725347
PECOS PAC ID: 6406995950
Enrollment ID: I20091123000545
Provider NameKathryn G Justesen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598756041
PECOS PAC ID: 2668506031
Enrollment ID: I20100820000375
Provider NameChris A Stuart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154312510
PECOS PAC ID: 4385768233
Enrollment ID: I20100828000166
Provider NameJames M Welters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992786735
PECOS PAC ID: 7517859465
Enrollment ID: I20100927001500
Provider NameShelly L Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073594966
PECOS PAC ID: 9436041373
Enrollment ID: I20100927001518
Provider NameGregory J Frane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245211499
PECOS PAC ID: 9638061575
Enrollment ID: I20100927001528
Provider NameRuby W Tam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194950303
PECOS PAC ID: 9335396233
Enrollment ID: I20120829000066
Provider NameElisabeth J Mcclean
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003173469
PECOS PAC ID: 7113168766
Enrollment ID: I20130725000048
Provider NameElizabeth F Severance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700290319
PECOS PAC ID: 7810211877
Enrollment ID: I20150121002193
Provider NameErica L Gathje
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417368796
PECOS PAC ID: 9335453398
Enrollment ID: I20150804005013
Provider NameYazdaan R Juma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649632324
PECOS PAC ID: 2961786199
Enrollment ID: I20190913001490
Provider NameJennifer M Purifoy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396107470
PECOS PAC ID: 1153605373
Enrollment ID: I20200218000033
Provider NameNneka N Agujiobi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588197537
PECOS PAC ID: 2668741562
Enrollment ID: I20201229001203

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.