Genevive - Medicare Primary Care in Minneapolis, MN

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Genevive is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Minneapolis, Minnesota. The current practice location for Genevive is 3433 Broadway St Ne, Suite 300, Minneapolis, Minnesota. For appointments, you can reach them via phone at (763) 587-7737. The mailing address for Genevive is 3433 Broadway St Ne, Suite 300, Minneapolis, Minnesota and phone number is (763) 587-7737.

Genevive is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093131419. 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) 587-7737.

Contact Information

Genevive
3433 Broadway St Ne
Suite 300
Minneapolis
MN 55413-1761
(763) 587-7737
(763) 587-7781

Map and Direction


Primary Care Clinic Profile

Full NameGenevive
SpecialityFamily Medicine
Location3433 Broadway St Ne, Minneapolis, Minnesota
Authorized Official Name and PositionAmanda Simpson Tufano (CEO)
Authorized Official Contact7635877737
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Genevive
3433 Broadway St Ne
Suite 300
Minneapolis
MN 55413-1761

Ph: (763) 587-7737		Genevive
3433 Broadway St Ne
Suite 300
Minneapolis
MN 55413-1761

Ph: (763) 587-7737

NPI Details:

NPI Number1093131419
Provider Enumeration Date03/10/2014
Last Update Date04/16/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2365667557
Medicare Enrollment IDO20140701002173

Medical Identifiers

Medical identifiers for Genevive such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093131419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric 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. Genevive acts as a billing entity for following providers:
Provider NameTara L Schlattman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609853415
PECOS PAC ID: 5193621522
Enrollment ID: I20031208000916
Provider NameKrista J Naber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699752535
PECOS PAC ID: 4486553732
Enrollment ID: I20040107000066
Provider NameBrian J Dixon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528096161
PECOS PAC ID: 5294635488
Enrollment ID: I20040113000262
Provider NameNancy A Schultz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346278579
PECOS PAC ID: 6406740950
Enrollment ID: I20040214000075
Provider NameJohn W Mielke
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1679508006
PECOS PAC ID: 0042104598
Enrollment ID: I20040214000080
Provider NameAlan S Divine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104825280
PECOS PAC ID: 9032004734
Enrollment ID: I20040220000593
Provider NameSarah Louise Isakson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730128505
PECOS PAC ID: 2365420957
Enrollment ID: I20040709001269
Provider NameAmy L Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811963382
PECOS PAC ID: 5294700381
Enrollment ID: I20040901000302
Provider NameAlison C Romstad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275502841
PECOS PAC ID: 8426017674
Enrollment ID: I20041005000385
Provider NameLois R Sipprell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760491005
PECOS PAC ID: 0840249074
Enrollment ID: I20050114000361
Provider NameMelissa K Sorenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871643825
PECOS PAC ID: 2163461609
Enrollment ID: I20050426000023
Provider NameDebra L Burgy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679533806
PECOS PAC ID: 1052353729
Enrollment ID: I20050524000572
Provider NameJennifer L Welsh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215045885
PECOS PAC ID: 8022036656
Enrollment ID: I20051102000854
Provider NameSusan Grace Rossi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285734376
PECOS PAC ID: 3870598766
Enrollment ID: I20060928000023
Provider NameScott J Fairbairn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174553747
PECOS PAC ID: 1951302975
Enrollment ID: I20070118000106
Provider NameSteven F Lawler
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1770546269
PECOS PAC ID: 2961500269
Enrollment ID: I20070611000384
Provider NameMarcia A Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700869278
PECOS PAC ID: 0840376463
Enrollment ID: I20080324000530
Provider NameAnil Kumar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740340611
PECOS PAC ID: 1951393982
Enrollment ID: I20080325000410
Provider NameElizabeth A Toth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053580563
PECOS PAC ID: 3173602745
Enrollment ID: I20080507000422
Provider NameMomodou Ceesay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649438417
PECOS PAC ID: 0648348102
Enrollment ID: I20081010000172
Provider NamePatricia C Henjum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700807021
PECOS PAC ID: 2466514724
Enrollment ID: I20081219000421
Provider NameFrederick S Mosch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154403764
PECOS PAC ID: 1153470620
Enrollment ID: I20090513000248
Provider NameSandra J Turbes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659364099
PECOS PAC ID: 2365496932
Enrollment ID: I20091029000275
Provider NameDouglas J Watkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992795652
PECOS PAC ID: 6002956331
Enrollment ID: I20091217000634
Provider NameAngela K Farrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568498913
PECOS PAC ID: 3173664703
Enrollment ID: I20100105000413
Provider NameCynthia A Carlson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427035401
PECOS PAC ID: 9931242997
Enrollment ID: I20100130000128
Provider NameRobert J Helgren
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336177971
PECOS PAC ID: 2668516618
Enrollment ID: I20100215000643
Provider NameMary B Carlson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144284274
PECOS PAC ID: 0143356469
Enrollment ID: I20100325000942
Provider NameBarry Larson
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1275518631
PECOS PAC ID: 1052223708
Enrollment ID: I20100420000893
Provider NameBradley Allen Langley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083604722
PECOS PAC ID: 2668500877
Enrollment ID: I20100510000252
Provider NameWilliam J Hamilton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194715748
PECOS PAC ID: 4688702806
Enrollment ID: I20100510000372
Provider NameKelsi K Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992733976
PECOS PAC ID: 3375528151
Enrollment ID: I20100603000767
Provider NameRenee K Doering
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023044484
PECOS PAC ID: 6103018254
Enrollment ID: I20101007000302
Provider NameRuby L Schoen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932417581
PECOS PAC ID: 2062601347
Enrollment ID: I20110118001262
Provider NameNgum Ngwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245537869
PECOS PAC ID: 6002092939
Enrollment ID: I20110510000890
Provider NameMelanie D Ashfeld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669769022
PECOS PAC ID: 0042480006
Enrollment ID: I20110830000424
Provider NameKelli A Petersen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164702742
PECOS PAC ID: 9739354549
Enrollment ID: I20111206000627
Provider NameJane C Pederson
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1508147224
PECOS PAC ID: 3678588696
Enrollment ID: I20111230000484
Provider NameJudy L Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013284975
PECOS PAC ID: 5496912354
Enrollment ID: I20120203000347
Provider NameJoan Sang Luknic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780959551
PECOS PAC ID: 6406019256
Enrollment ID: I20120515000515
Provider NameJoy C Laansma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659623999
PECOS PAC ID: 4486807070
Enrollment ID: I20130109000789
Provider NameRita A Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609217769
PECOS PAC ID: 6103050224
Enrollment ID: I20131003000305
Provider NameDebra L Stassen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518399294
PECOS PAC ID: 0840424719
Enrollment ID: I20131008001050
Provider NameMaria Keita
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215365606
PECOS PAC ID: 7416183033
Enrollment ID: I20131203001826
Provider NameStacie L Straus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184169542
PECOS PAC ID: 6002198041
Enrollment ID: I20170126001388
Provider NameMichaela M Cielinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801320312
PECOS PAC ID: 5890072698
Enrollment ID: I20170504000546
Provider NameNatalie R Cowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003351602
PECOS PAC ID: 2163791302
Enrollment ID: I20170703001880
Provider NameAmy Kammerer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043746761
PECOS PAC ID: 7719251594
Enrollment ID: I20170918000872
Provider NameJamie Inhoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407357122
PECOS PAC ID: 4385907146
Enrollment ID: I20180410001563
Provider NameJohn O Nyaenya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710470075
PECOS PAC ID: 6800144924
Enrollment ID: I20180807001501
Provider NameAbigail C Hartin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215415997
PECOS PAC ID: 9638417066
Enrollment ID: I20190211001870
Provider NameSamantha J Giffrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508339326
PECOS PAC ID: 8224378344
Enrollment ID: I20190327000654
Provider NameBrianna M Kvanli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578020525
PECOS PAC ID: 3779823711
Enrollment ID: I20190329000012
Provider NameBrandi Reilly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568929115
PECOS PAC ID: 4082955851
Enrollment ID: I20190403002126
Provider NameChristina Kern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487113403
PECOS PAC ID: 0143563114
Enrollment ID: I20190514001606
Provider NameMarianne Loftus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972153443
PECOS PAC ID: 0446681902
Enrollment ID: I20200518000061
Provider NameChristina Bricout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508485970
PECOS PAC ID: 6103247812
Enrollment ID: I20200605000151
Provider NameJennifer Voss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033746714
PECOS PAC ID: 1153742770
Enrollment ID: I20200605000822
Provider NameKelli Lynn Bronder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053073866
PECOS PAC ID: 4587045570
Enrollment ID: I20220721003893
Provider NameElizabeth Margaret Fairbairn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982269684
PECOS PAC ID: 5496082562
Enrollment ID: I20220726003486
Provider NameAlissa Marie Abraham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396417572
PECOS PAC ID: 5193110450
Enrollment ID: I20221111001468
Provider NameChristina Ruth Krambeer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326745811
PECOS PAC ID: 0648645937
Enrollment ID: I20230419002225
Provider NameMichelle Ann Killam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295428019
PECOS PAC ID: 4981063005
Enrollment ID: I20230707002478
Provider NameAshley Kumar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922725605
PECOS PAC ID: 6901278126
Enrollment ID: I20230720002975
Provider NameParis Strom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508642737
PECOS PAC ID: 9537502166
Enrollment ID: I20240209002959
Provider NameEva Dominie Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063084127
PECOS PAC ID: 4385089911
Enrollment ID: I20240305001525
Provider NameLeah R Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306612155
PECOS PAC ID: 2668811696
Enrollment ID: I20240423003172

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.