| Genevive | |
|
3433 Broadway St Ne Ste 300 Minneapolis MN 55413-1761 | |
| (763) 587-7737 | |
| (651) 383-4551 |
| Full Name | Genevive |
|---|---|
| Speciality | Family Medicine |
| Location | 3433 Broadway St Ne Ste 300, Minneapolis, Minnesota |
| Authorized Official Name and Position | Julia Crist (CEO) |
| Authorized Official Contact | 7635877737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genevive 3433 Broadway St Ne Suite 300 Minneapolis MN 55413-1761 Ph: (763) 587-7737 | Genevive 3433 Broadway St Ne Ste 300 Minneapolis MN 55413-1761 Ph: (763) 587-7737 |
| NPI Number | 1093131419 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Medicare PECOS PAC ID | 2365667557 |
|---|---|
| Medicare Enrollment ID | O20140701002173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093131419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Brian J Dixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528096161 PECOS PAC ID: 5294635488 Enrollment ID: I20040113000262 |
| Provider Name | John W Mielke |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679508006 PECOS PAC ID: 0042104598 Enrollment ID: I20040214000080 |
| Provider Name | Amy L Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811963382 PECOS PAC ID: 5294700381 Enrollment ID: I20040901000302 |
| Provider Name | Alison C Romstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275502841 PECOS PAC ID: 8426017674 Enrollment ID: I20041005000385 |
| Provider Name | Melissa K Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871643825 PECOS PAC ID: 2163461609 Enrollment ID: I20050426000023 |
| Provider Name | Sarah C Maier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710953427 PECOS PAC ID: 2961448998 Enrollment ID: I20050630000101 |
| Provider Name | Jennifer L Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215045885 PECOS PAC ID: 8022036656 Enrollment ID: I20051102000854 |
| Provider Name | Susan Grace Rossi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285734376 PECOS PAC ID: 3870598766 Enrollment ID: I20060928000023 |
| Provider Name | Scott John Fairbairn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174553747 PECOS PAC ID: 1951302975 Enrollment ID: I20070118000106 |
| Provider Name | Anil Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740340611 PECOS PAC ID: 1951393982 Enrollment ID: I20080325000410 |
| Provider Name | Elizabeth a Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053580563 PECOS PAC ID: 3173602745 Enrollment ID: I20080507000422 |
| Provider Name | Momodou Ceesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649438417 PECOS PAC ID: 0648348102 Enrollment ID: I20081010000172 |
| Provider Name | Patricia C Henjum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700807021 PECOS PAC ID: 2466514724 Enrollment ID: I20081219000421 |
| Provider Name | Angela K Farrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568498913 PECOS PAC ID: 3173664703 Enrollment ID: I20100105000413 |
| Provider Name | Cynthia a Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427035401 PECOS PAC ID: 9931242997 Enrollment ID: I20100130000128 |
| Provider Name | Barry Larson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1275518631 PECOS PAC ID: 1052223708 Enrollment ID: I20100420000893 |
| Provider Name | Bradley Allen Langley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083604722 PECOS PAC ID: 2668500877 Enrollment ID: I20100510000252 |
| Provider Name | William J Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194715748 PECOS PAC ID: 4688702806 Enrollment ID: I20100510000372 |
| Provider Name | Kelsi K Nelson - Holien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992733976 PECOS PAC ID: 3375528151 Enrollment ID: I20100603000767 |
| Provider Name | Renee K Doering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023044484 PECOS PAC ID: 6103018254 Enrollment ID: I20101007000302 |
| Provider Name | Ngum Ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245537869 PECOS PAC ID: 6002092939 Enrollment ID: I20110510000890 |
| Provider Name | Melanie D Ashfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669769022 PECOS PAC ID: 0042480006 Enrollment ID: I20110830000424 |
| Provider Name | Jane C Pederson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508147224 PECOS PAC ID: 3678588696 Enrollment ID: I20111230000484 |
| Provider Name | Rita a Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609217769 PECOS PAC ID: 6103050224 Enrollment ID: I20131003000305 |
| Provider Name | Debra L Stassen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518399294 PECOS PAC ID: 0840424719 Enrollment ID: I20131008001050 |
| Provider Name | Jaclyn Rose Guetzko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275914020 PECOS PAC ID: 6507179132 Enrollment ID: I20150724011528 |
| Provider Name | Stacie L Straus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184169542 PECOS PAC ID: 6002198041 Enrollment ID: I20170126001388 |
| Provider Name | Michaela M Cielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801320312 PECOS PAC ID: 5890072698 Enrollment ID: I20170504000546 |
| Provider Name | Natalie R Cowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351602 PECOS PAC ID: 2163791302 Enrollment ID: I20170703001880 |
| Provider Name | Amy Kammerer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043746761 PECOS PAC ID: 7719251594 Enrollment ID: I20170918000872 |
| Provider Name | Jamie Inhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407357122 PECOS PAC ID: 4385907146 Enrollment ID: I20180410001563 |
| Provider Name | Abigail C Hartin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215415997 PECOS PAC ID: 9638417066 Enrollment ID: I20190211001870 |
| Provider Name | Samantha J Giffrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508339326 PECOS PAC ID: 8224378344 Enrollment ID: I20190327000654 |
| Provider Name | Brianna M Kvanli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578020525 PECOS PAC ID: 3779823711 Enrollment ID: I20190329000012 |
| Provider Name | Christina Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487113403 PECOS PAC ID: 0143563114 Enrollment ID: I20190514001606 |
| Provider Name | Sarah Hintz Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588229496 PECOS PAC ID: 1153664859 Enrollment ID: I20190521002233 |
| Provider Name | Jennifer Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033746714 PECOS PAC ID: 1153742770 Enrollment ID: I20200605000822 |
| Provider Name | Kelli Lynn Bronder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053073866 PECOS PAC ID: 4587045570 Enrollment ID: I20220721003893 |
| Provider Name | Alissa Marie Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396417572 PECOS PAC ID: 5193110450 Enrollment ID: I20221111001468 |
| Provider Name | Kaley Loraine Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114665775 PECOS PAC ID: 9931579711 Enrollment ID: I20230112001947 |
| Provider Name | Christina Ruth Krambeer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326745811 PECOS PAC ID: 0648645937 Enrollment ID: I20230419002225 |
| Provider Name | Michelle Ann Killam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295428019 PECOS PAC ID: 4981063005 Enrollment ID: I20230707002478 |
| Provider Name | Ashley Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922725605 PECOS PAC ID: 6901278126 Enrollment ID: I20230720002975 |
| Provider Name | Paris Strom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508642737 PECOS PAC ID: 9537502166 Enrollment ID: I20240209002959 |
| Provider Name | Eva Dominie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063084127 PECOS PAC ID: 4385089911 Enrollment ID: I20240305001525 |
| Provider Name | Leah R Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306612155 PECOS PAC ID: 2668811696 Enrollment ID: I20240423003172 |
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 |
Healthpartners 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 |
Boynton Health Service 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 |
Zaya Healthcare PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 S Seond Ave Suite 200 1631, Minneapolis, MN 55401 Phone: 612-300-2221 |
M Health Fairview Masonic Institute for the Developing Brain Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 |