GENEVIVE ACO LLC
NPI 1053200543
Family Medicine - Hospice and Palliative Medicine in Minneapolis, MN

Q: What is Genevive Aco LLC's NPI number?

The NPI number for Genevive Aco LLC is 1053200543. It was assigned to this organization in the NPPES registry on June 30, 2025.

Q: What is Genevive Aco LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Q: When was this NPI record last updated?

The NPPES record for Genevive Aco LLC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2025CLIA 24D2205204 · Waiver

3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413(763) 587-7737(651) 383-4551 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Genevive Aco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENEVIVE ACO LLC (NPI 1053200543) is a healthcare organization registered as a hospice and palliative medicine in Minneapolis, Minnesota and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Jennifer Welsh, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1053200543

Entity TypeOrganization

Primary Taxonomy207QH0002X

Legal Business NameGENEVIVE ACO LLC

Location Address3433 BROADWAY ST NE STE 300Minneapolis, MN 55413-1761

Mailing Address3433 Broadway St Ne Ste 300Minneapolis, MN 55413-1761 · (763) 587-7737 · Fax (651) 383-4551

Phone(763) 587-7737

Fax(651) 383-4551

Organization SubpartNo

Authorized OfficialJennifer WelshChief Medical Officer · (763) 587-7737

Enumeration DateJune 30, 2025

NPPES CertifiedJune 30, 2025

✔ NPI 1053200543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

3433 BROADWAY ST NE STE 300, Minneapolis, MN 55413

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2205204

Geriatric Services Of Mn, Dba Genevive · Minneapolis, MN

Active · expires Dec 13, 2026

CLIA Number24D2205204

Laboratory TypePhysician Office

Certificate Effective DateDecember 14, 2024

Certificate Expiration DateDecember 13, 2026

Laboratory DirectorJohn W. Mielke

Laboratory Phone(763) 587-7737

Laboratory LocationGeriatric Services Of Mn, Dba Genevive3433 Broadway Street NE, Ste 300, Minneapolis, MN 55413

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE COWELL

Nurse Practitioner (Gerontology)