West Side Community Health Services, Inc. - Medicare Primary Care in Saint Paul, MN

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West Side Community Health Services, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Saint Paul, Minnesota. The current practice location for West Side Community Health Services, Inc. is 1544 Timberlake Rd, Saint Paul, Minnesota. For appointments, you can reach them via phone at (651) 558-2191. The mailing address for West Side Community Health Services, Inc. is 153 Cesar Chavez St, Saint Paul, Minnesota and phone number is (651) 602-7500.

West Side Community Health Services, Inc. is licensed to practice in Minnesota (license number ). The clinic also participates in the medicare program and its NPI number is 1821149964. 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 (651) 558-2191.

Contact Information

West Side Community Health Services, Inc.
1544 Timberlake Rd
Saint Paul
MN 55117-3946
(651) 558-2191
(651) 558-2205

Map and Direction


Primary Care Clinic Profile

Full NameWest Side Community Health Services, Inc.
SpecialityClinic/Center
Location1544 Timberlake Rd, Saint Paul, Minnesota
Authorized Official Name and PositionReuben Moore (CEO)
Authorized Official Contact6516027500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
West Side Community Health Services, Inc.
153 Cesar Chavez St
Saint Paul
MN 55107-2226

Ph: (651) 602-7500		West Side Community Health Services, Inc.
1544 Timberlake Rd
Saint Paul
MN 55117-3946

Ph: (651) 558-2191

NPI Details:

NPI Number1821149964
Provider Enumeration Date01/16/2007
Last Update Date05/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2062306434
Medicare Enrollment IDO20040209000647

Medical Identifiers

Medical identifiers for West Side Community Health Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821149964NPI-NPPES
072223500MedicaidMN
173477OtherMNUCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. West Side Community Health Services, Inc. acts as a billing entity for following providers:
Provider NameMichele Lynn Vanvranken
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255307252
PECOS PAC ID: 5698768117
Enrollment ID: I20040408000207
Provider NameLaurel M Gamm
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659473866
PECOS PAC ID: 2567458771
Enrollment ID: I20040422001422
Provider NameTimothy J Rumsey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124088315
PECOS PAC ID: 8022003268
Enrollment ID: I20040504000905
Provider NameNaomi N Duke
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366539496
PECOS PAC ID: 3577552538
Enrollment ID: I20040506001198
Provider NameMark S Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093775686
PECOS PAC ID: 7810968880
Enrollment ID: I20040803001348
Provider NameMary C Nesvig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073572038
PECOS PAC ID: 2769454206
Enrollment ID: I20040806000338
Provider NameSusan A Benfield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255300463
PECOS PAC ID: 2466428628
Enrollment ID: I20040908001414
Provider NameKathleen A Culhane-pera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922067735
PECOS PAC ID: 4183691348
Enrollment ID: I20040916000100
Provider NameMary E Yee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679533574
PECOS PAC ID: 7315906559
Enrollment ID: I20041005000249
Provider NameLourdes Borges Ruiz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104885391
PECOS PAC ID: 6901861632
Enrollment ID: I20041122001189
Provider NameAlison M Warford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467525527
PECOS PAC ID: 9032151311
Enrollment ID: I20050526000350
Provider NameIlene R Moore
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659331445
PECOS PAC ID: 5991737454
Enrollment ID: I20050906000381
Provider NamePatricia J Longard
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1912969247
PECOS PAC ID: 4183632037
Enrollment ID: I20060404000208
Provider NameTamara L Jackman
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1053371872
PECOS PAC ID: 3476550310
Enrollment ID: I20061107000055
Provider NameJane K Peterson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598872806
PECOS PAC ID: 9436158466
Enrollment ID: I20061220000237
Provider NameLisa L Smith
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1023079423
PECOS PAC ID: 6002915691
Enrollment ID: I20070622000065
Provider NameAmy M Hanson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1396707360
PECOS PAC ID: 2163521345
Enrollment ID: I20070629000063
Provider NameCathy J Priess-perrott
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1275593063
PECOS PAC ID: 1052412509
Enrollment ID: I20070727000232
Provider NameChristine Chitambar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922298132
PECOS PAC ID: 3779677307
Enrollment ID: I20070913000418
Provider NameLaura Pattison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922295963
PECOS PAC ID: 6507956851
Enrollment ID: I20071226000442
Provider NameJason M Como
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316137680
PECOS PAC ID: 1557441011
Enrollment ID: I20080109000586
Provider NameElaine F Boehm
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1295990901
PECOS PAC ID: 6800961772
Enrollment ID: I20080813000089
Provider NameCarmen Hupf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467629519
PECOS PAC ID: 0648348110
Enrollment ID: I20081010000241
Provider NameSonja M Batalden
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1255469276
PECOS PAC ID: 4587604426
Enrollment ID: I20090323000349
Provider NameRebecca Zadroga
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1023178746
PECOS PAC ID: 6709807803
Enrollment ID: I20090409000334
Provider NameJessica G Pereira
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528266574
PECOS PAC ID: 3173664109
Enrollment ID: I20100112000684
Provider NameStephen C Riendl
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1982670766
PECOS PAC ID: 8123920774
Enrollment ID: I20100317000588
Provider NameBruce H Field
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023084076
PECOS PAC ID: 7517092042
Enrollment ID: I20100322000958
Provider NameShelley Eiler Thron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326365693
PECOS PAC ID: 7416081997
Enrollment ID: I20100819000497
Provider NameShandon R Halland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962735753
PECOS PAC ID: 7517150048
Enrollment ID: I20101018000157
Provider NameStefan H Pomrenke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881860567
PECOS PAC ID: 9537349097
Enrollment ID: I20110215001220
Provider NamePaul A Abraham
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1477528438
PECOS PAC ID: 7719889054
Enrollment ID: I20120116000177
Provider NameMuaj C Lo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487644985
PECOS PAC ID: 8921051277
Enrollment ID: I20121022000596
Provider NameFadumasara B Ali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659632719
PECOS PAC ID: 0446401400
Enrollment ID: I20121121000540
Provider NameEllen A Sevenich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871842328
PECOS PAC ID: 4183876592
Enrollment ID: I20121212000000
Provider NameGail L Turnberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063404655
PECOS PAC ID: 4486807278
Enrollment ID: I20130103000061
Provider NameJessica Sanchez-alfaro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821278953
PECOS PAC ID: 7719124155
Enrollment ID: I20130502000455
Provider NameChristine M Rangen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1568716009
PECOS PAC ID: 4486807138
Enrollment ID: I20140409001057
Provider NameMaiyia L Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891067005
PECOS PAC ID: 5395961973
Enrollment ID: I20140717001985
Provider NameJennifer Ann Vickers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982004941
PECOS PAC ID: 8628290582
Enrollment ID: I20141107001042
Provider NameJoshua E Lackner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033499306
PECOS PAC ID: 6002038817
Enrollment ID: I20141111002408
Provider NameTracy F Obrien
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1437402237
PECOS PAC ID: 8325359169
Enrollment ID: I20150619000480
Provider NameKenneth Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760851661
PECOS PAC ID: 1456669126
Enrollment ID: I20150929002110
Provider NameKathleen H Donnelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790155638
PECOS PAC ID: 0547560005
Enrollment ID: I20151204002514
Provider NameIjeoma N Ogbonnaya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558736843
PECOS PAC ID: 4082916648
Enrollment ID: I20160113002544
Provider NameEmily Katherine Rumsey
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1043670144
PECOS PAC ID: 3375822422
Enrollment ID: I20161114002139
Provider NameShannon Whaley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780026419
PECOS PAC ID: 2264667385
Enrollment ID: I20170221001089
Provider NameKara Jacobsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437150356
PECOS PAC ID: 2365726494
Enrollment ID: I20170308002092
Provider NameJennifer Marr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245788652
PECOS PAC ID: 1557641206
Enrollment ID: I20180109002950
Provider NameMary K English
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487951851
PECOS PAC ID: 4981966512
Enrollment ID: I20180320001556
Provider NameMehret Medhanie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649763780
PECOS PAC ID: 1254688203
Enrollment ID: I20180720002595
Provider NameSripathy Umapathi
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1669958195
PECOS PAC ID: 0244582849
Enrollment ID: I20181010000050
Provider NameDannie Marie Paskewitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740768878
PECOS PAC ID: 2163774787
Enrollment ID: I20181010000879
Provider NameMatthew John Buehler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992296016
PECOS PAC ID: 4385996529
Enrollment ID: I20181016002459
Provider NameAshley Nicole Gyura
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821470162
PECOS PAC ID: 8921342882
Enrollment ID: I20181204000139
Provider NameMorgan Lm Weinert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689159360
PECOS PAC ID: 7012251994
Enrollment ID: I20181204000547
Provider NameSelase Agudu-morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891278693
PECOS PAC ID: 1951646397
Enrollment ID: I20181213000754
Provider NameLauren K Graber
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982962544
PECOS PAC ID: 8224260146
Enrollment ID: I20190326001427
Provider NameBrandi Reilly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568929115
PECOS PAC ID: 4082955851
Enrollment ID: I20190403002126
Provider NameAbagael Marie Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013471242
PECOS PAC ID: 9537401518
Enrollment ID: I20190422002541
Provider NameEmma Yang
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629327630
PECOS PAC ID: 3870929938
Enrollment ID: I20200207002484
Provider NameAntionette Renee Estis
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1831745025
PECOS PAC ID: 5597193219
Enrollment ID: I20200311002798
Provider NameGretchen M Alaniz
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1417691668
PECOS PAC ID: 0648658831
Enrollment ID: I20220531000945
Provider NameBrandi H Gorden Klukas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568026342
PECOS PAC ID: 7012242696
Enrollment ID: I20220929002340
Provider NameAlison Bennett
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1144977083
PECOS PAC ID: 6406227735
Enrollment ID: I20230125001444
Provider NameUche Franklin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295440303
PECOS PAC ID: 6002280013
Enrollment ID: I20230314002249
Provider NameTedbabework M Ayele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700593811
PECOS PAC ID: 5698144327
Enrollment ID: I20230713001764
Provider NameAnnamaria Cioffi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073299004
PECOS PAC ID: 7911353834
Enrollment ID: I20231030002226
Provider NameRenee Lynn Clark
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1003211251
PECOS PAC ID: 0042535585
Enrollment ID: I20240126001261
Provider NameStone Hamabwe Kabwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376298141
PECOS PAC ID: 7214370345
Enrollment ID: I20240206002277
Provider NameMaisy Lee Phravoraxay
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104550482
PECOS PAC ID: 2961847017
Enrollment ID: I20240228001552
Provider NameSafiya Nur Ahmed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992300370
PECOS PAC ID: 1052756962
Enrollment ID: I20240301001841
Provider NameHaley Julia O'neill
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1285404228
PECOS PAC ID: 0749626596
Enrollment ID: I20240314002885
Provider NameAnnika Leigh Gunderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982278966
PECOS PAC ID: 4183002488
Enrollment ID: I20240327000138
Provider NameSarena N Lesem
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467943001
PECOS PAC ID: 0345688750
Enrollment ID: I20240404001756
Provider NameMadeline Jean Gardner
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1710459979
PECOS PAC ID: 7810335858
Enrollment ID: I20240409004557
Provider NameLeydi Lopez Rosales
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710751987
PECOS PAC ID: 8325487259
Enrollment ID: I20240411003211
Provider NameLatrice Mona Brown-chitou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366185209
PECOS PAC ID: 7012356736
Enrollment ID: I20240415001614
Provider NameLucia Coral Roderique
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1245953595
PECOS PAC ID: 8426497512
Enrollment ID: I20240423000899
Provider NameJessica N Haley Ortiz
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1487206983
PECOS PAC ID: 5294064846
Enrollment ID: I20240423003741
Provider NameRuth Mushimbwa Haamankuli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881881035
PECOS PAC ID: 7517306582
Enrollment ID: I20240424000357
Provider NameNoemi Rocio Wronski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457128373
PECOS PAC ID: 6204271653
Enrollment ID: I20240424002696
Provider NameCute Jesse Lee
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1023388410
PECOS PAC ID: 5395282909
Enrollment ID: I20240731003989
Provider NameEmily Patricia Vogl
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093549362
PECOS PAC ID: 3274073580
Enrollment ID: I20240912002052
Provider NamePatience Nwokoro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699554998
PECOS PAC ID: 0244761419
Enrollment ID: I20240930002273
Provider NameLoretta O Akpala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720721525
PECOS PAC ID: 4789065632
Enrollment ID: I20241122002998
Provider NameCarolina Melguizo Gentry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700493137
PECOS PAC ID: 8123554391
Enrollment ID: I20241211001896
Provider NameMariela Andrea Rich
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1215428719
PECOS PAC ID: 3577819283
Enrollment ID: I20250108002584
Provider NameChelsea Marie Okorafor
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1043028285
PECOS PAC ID: 8224568621
Enrollment ID: I20250214001682
Provider NameNikala Marie Bremmer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1407661259
PECOS PAC ID: 8921529926
Enrollment ID: I20250306002016

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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.