| Ch Specialty Services Mn Pc | |
|
5123 W 98th St Ste 2082 Minneapolis MN 55437-2040 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | Ch Specialty Services Mn Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5123 W 98th St Ste 2082, Minneapolis, Minnesota |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Specialty Services Mn Pc 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 408-0797 | Ch Specialty Services Mn Pc 5123 W 98th St Ste 2082 Minneapolis MN 55437-2040 Ph: (337) 408-0797 |
| NPI Number | 1841999158 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 03/21/2025 |
| Medicare PECOS PAC ID | 7517331796 |
|---|---|
| Medicare Enrollment ID | O20230330001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841999158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shannon Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144208976 PECOS PAC ID: 0345268579 Enrollment ID: I20051107000600 |
| Provider Name | Sunitha Tata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487818175 PECOS PAC ID: 5597935718 Enrollment ID: I20110825000742 |
| Provider Name | Roxanne Grosskopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417205451 PECOS PAC ID: 6901059617 Enrollment ID: I20140610000422 |
| Provider Name | Hannah Leigh Hayes Oleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891284568 PECOS PAC ID: 6709131816 Enrollment ID: I20180613002204 |
| Provider Name | Brittany R Waletzko Bartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184159014 PECOS PAC ID: 0345511853 Enrollment ID: I20201022003774 |
| Provider Name | Abby Krebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720625445 PECOS PAC ID: 9830500040 Enrollment ID: I20201119000653 |
| Provider Name | Byron Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20211218000127 |
| Provider Name | Vlastimil Smetka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20220602000553 |
| Provider Name | Amanda Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477942092 PECOS PAC ID: 9638494537 Enrollment ID: I20220603000508 |
| Provider Name | Marian Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043562150 PECOS PAC ID: 9436394079 Enrollment ID: I20230109001844 |
| Provider Name | Brian Whyms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821440066 PECOS PAC ID: 2365736378 Enrollment ID: I20230217001152 |
| Provider Name | Tasha Janssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447808233 PECOS PAC ID: 1850621145 Enrollment ID: I20230417001097 |
| Provider Name | Chante Campbell-nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868738 PECOS PAC ID: 7416361126 Enrollment ID: I20240122003650 |
| Provider Name | Stacey Lynn Challe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912775875 PECOS PAC ID: 6901241009 Enrollment ID: I20240228003360 |
| Provider Name | Ruth Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240410002024 |
| Provider Name | Brittany Enlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114530045 PECOS PAC ID: 3072930155 Enrollment ID: I20240417003791 |
| Provider Name | Charlotte Anne Lenertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710746516 PECOS PAC ID: 6103265574 Enrollment ID: I20240417003996 |
| Provider Name | Lee Kamstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164409215 PECOS PAC ID: 7012927304 Enrollment ID: I20240508000224 |
| Provider Name | Shipeng Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023469798 PECOS PAC ID: 4789970179 Enrollment ID: I20240529003092 |
| Provider Name | Lisa Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083348049 PECOS PAC ID: 5193182954 Enrollment ID: I20240605001443 |
| Provider Name | Candace Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073382065 PECOS PAC ID: 5698112670 Enrollment ID: I20240703002551 |
| Provider Name | Meghan Sue Beveridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467299768 PECOS PAC ID: 2567900970 Enrollment ID: I20240816001212 |
| Provider Name | Anne Margaret Huxford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720718539 PECOS PAC ID: 2264970433 Enrollment ID: I20240819003733 |
| Provider Name | Tracy Hedine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669968335 PECOS PAC ID: 8628316098 Enrollment ID: I20240826001690 |
| Provider Name | Kaitlynn Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124772546 PECOS PAC ID: 5890182901 Enrollment ID: I20241010001404 |
| Provider Name | Patrick Oben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255617700 PECOS PAC ID: 4082833769 Enrollment ID: I20241203003697 |
| Provider Name | Tanya Lynn Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922824515 PECOS PAC ID: 1557898814 Enrollment ID: I20241230002176 |
| Provider Name | Bridget Nore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20250121002391 |
| Provider Name | Audrianna Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20250122001384 |
| Provider Name | Sarah Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073323069 PECOS PAC ID: 1052841228 Enrollment ID: I20250204001789 |
| Provider Name | Deby Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043024649 PECOS PAC ID: 7719407808 Enrollment ID: I20250219002441 |
| Provider Name | Courtney Jack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336740620 PECOS PAC ID: 8820403249 Enrollment ID: I20250224000745 |
| Provider Name | Brittney Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487454229 PECOS PAC ID: 0345765012 Enrollment ID: I20250416000411 |
| Provider Name | Tarikua Katiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063206134 PECOS PAC ID: 0547786212 Enrollment ID: I20250424003729 |
| Provider Name | Alexis Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124726849 PECOS PAC ID: 0345613691 Enrollment ID: I20250509002749 |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Group Health Plan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 | |
Regents Of The University Of Minnesota Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-677-3211 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
Fairview Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 | |
Ams Healing And Wellness Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Ofc U2-09, Minneapolis, MN 55401 Phone: 320-282-4023 | |
First Class Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 N 2nd St, Minneapolis, MN 55411 Phone: 952-270-5238 |