- Medicare Primary Care in Minneapolis, MN

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Minneapolis, Minnesota. The current practice location for is 3300 Fremont Ave N, Minneapolis, Minnesota. For appointments, you can reach them via phone at (612) 588-9411. The mailing address for is 3300 Fremont Ave N, Minneapolis, Minnesota and phone number is (612) 588-9411.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386682078. 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 (612) 588-9411.

Contact Information

3300 Fremont Ave N
Minneapolis
MN 55412-2405
(612) 588-9411
(612) 522-6627

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location3300 Fremont Ave N, Minneapolis, Minnesota
Authorized Official Name and PositionSteve J Knutson (EXECUTIVE DIRECTOR)
Authorized Official Contact6122872428
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3300 Fremont Ave N
Minneapolis
MN 55412-2405

Ph: (612) 588-9411

3300 Fremont Ave N
Minneapolis
MN 55412-2405

Ph: (612) 588-9411

NPI Details:

NPI Number1386682078
Provider Enumeration Date06/03/2006
Last Update Date06/29/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9133199953
Medicare Enrollment IDO20040729000231

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386682078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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 NameEmily E Benzie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326075821
PECOS PAC ID: 7618943515
Enrollment ID: I20040902000399
Provider NameRobin J Bresette
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194757419
PECOS PAC ID: 0941254072
Enrollment ID: I20050310000778
Provider NameMark M Vint
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508835422
PECOS PAC ID: 5597771246
Enrollment ID: I20060303000668
Provider NameChristina M Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205945821
PECOS PAC ID: 1759559388
Enrollment ID: I20110726000143
Provider NameErin A Moeller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235589797
PECOS PAC ID: 8820367220
Enrollment ID: I20170628000705
Provider NameChelsea Elizabeth Dean Butay
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376911347
PECOS PAC ID: 6103159975
Enrollment ID: I20190610002548
Provider NamePatrice Danielle Dalton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295374171
PECOS PAC ID: 4789010489
Enrollment ID: I20200128001764
Provider NameSusanna Funk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598019663
PECOS PAC ID: 9133373285
Enrollment ID: I20210812001878
Provider NameAmina Adan Mohamed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144866336
PECOS PAC ID: 8123456720
Enrollment ID: I20220802003551
Provider NameKendal Ann Parette
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255841573
PECOS PAC ID: 0244651396
Enrollment ID: I20220811000700
Provider NameChristi A Desautels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497529796
PECOS PAC ID: 5395193304
Enrollment ID: I20231201001745
Provider NameBrianne Wallgren
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083486468
PECOS PAC ID: 9830536457
Enrollment ID: I20240319001227
Provider NameOlive Lewinski Albanese
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396487021
PECOS PAC ID: 1951780832
Enrollment ID: I20241025001736

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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.