- Medicare Primary Care in St Louis Park, MN

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is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in St Louis Park, Minnesota. The current practice location for is 5050 W 36th St Ste 100, St Louis Park, Minnesota. For appointments, you can reach them via phone at (952) 925-4085. The mailing address for is 5050 W 36th St Ste 100, St Louis Park, Minnesota and phone number is (952) 925-4085.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467736231. 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 (952) 925-4085.

Contact Information

5050 W 36th St Ste 100
St Louis Park
MN 55416-5470
(952) 925-4085
(952) 925-1394

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location5050 W 36th St Ste 100, St Louis Park, Minnesota
Authorized Official Name and PositionJeremy Jay Nielson (CEO)
Authorized Official Contact9529254085
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

5050 W 36th St Ste 100
St Louis Park
MN 55416-5470

Ph: (952) 925-4085
5050 W 36th St Ste 100
St Louis Park
MN 55416-5470

Ph: (952) 925-4085

NPI Details:

NPI Number1467736231
Provider Enumeration Date09/28/2011
Last Update Date10/24/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0648446930
Medicare Enrollment IDO20120109000699

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467736231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (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. acts as a billing entity for following providers:
Provider NameTroy W Bjorklund
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1316071384
PECOS PAC ID: 3678546504
Enrollment ID: I20040819000232
Provider NameJeremy Nielson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1831405703
PECOS PAC ID: 8527245604
Enrollment ID: I20110527000429
Provider NameMelissa J Mccarthy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881982858
PECOS PAC ID: 1759551880
Enrollment ID: I20110829000670
Provider NameMelanie Elizabeth Franke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740342765
PECOS PAC ID: 4981798428
Enrollment ID: I20180630000067
Provider NameTravis G Gilbertson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1720595481
PECOS PAC ID: 5395094213
Enrollment ID: I20180824002491
Provider NameBethany C Rathmanner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245725654
PECOS PAC ID: 1153673322
Enrollment ID: I20181127000055
Provider NameLaura Elizabeth Mogen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942778055
PECOS PAC ID: 3577891043
Enrollment ID: I20190821002810
Provider NameAshley Snyder
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1073086138
PECOS PAC ID: 1850629098
Enrollment ID: I20190826001763
Provider NameTheresa Schiebel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558946665
PECOS PAC ID: 5698177137
Enrollment ID: I20210707001456
Provider NameBrett Black
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124619713
PECOS PAC ID: 8224434204
Enrollment ID: I20210831002789
Provider NameDanielle Weigel
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1528711470
PECOS PAC ID: 8921492687
Enrollment ID: I20220223002795
Provider NameRenee Choquette
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1477206191
PECOS PAC ID: 4688051683
Enrollment ID: I20220512002104
Provider NameNathaniel Meidl
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1285223974
PECOS PAC ID: 0244613792
Enrollment ID: I20220816000708
Provider NameAlicia Nicole Meyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881325017
PECOS PAC ID: 0345623583
Enrollment ID: I20220819002346
Provider NameMegan Francisco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003536434
PECOS PAC ID: 3870979610
Enrollment ID: I20221003001756
Provider NameKatherine Salazar
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1366034035
PECOS PAC ID: 4183094725
Enrollment ID: I20221223000499
Provider NameErica Friebel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093307423
PECOS PAC ID: 6305251646
Enrollment ID: I20230602001021
Provider NameMatthew Urmanski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184314700
PECOS PAC ID: 6709244155
Enrollment ID: I20230616003163
Provider NameDylan English
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982488698
PECOS PAC ID: 0941664502
Enrollment ID: I20230914003070
Provider NameRebecca Reilly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811502016
PECOS PAC ID: 0648682682
Enrollment ID: I20240118003503
Provider NameDuncan Owen Schwartz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609604750
PECOS PAC ID: 2062950892
Enrollment ID: I20240812003057
Provider NameSophia Olson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629809652
PECOS PAC ID: 5698214252
Enrollment ID: I20240827002038
Provider NameHolden Olson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629858816
PECOS PAC ID: 1658727102
Enrollment ID: I20240911000800
Provider NameJonathan Gogolakis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770319675
PECOS PAC ID: 6709327109
Enrollment ID: I20240925003800
Provider NameAubrey Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255956082
PECOS PAC ID: 1355874140
Enrollment ID: I20241031004256

Reviews and Comments


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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.