ACACIA MEDICAL GROUP PLLC
NPI 1063801116
Hospitalist in Saint Peter, MN

Active since January 13, 2015
1900 SUNRISE DR, SAINT PETER, MN 56082(507) 931-2200 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Acacia Medical Group Pllc NPPES

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

ACACIA MEDICAL GROUP PLLC (NPI 1063801116) is a healthcare organization registered as a hospitalist in Saint Peter, Minnesota and active in the NPI registry since January 2015. The organization lists Lori Labrecque, Accts Manager, as its authorized official.

NPPES Registry Identity

NPI1063801116
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameACACIA MEDICAL GROUP PLLC
Location Address1900 SUNRISE DRSaint Peter, MN 56082-5376
Mailing AddressPo Box 1993Burnsville, MN 55337-0995 · (702) 453-3799 · Fax (702) 453-5741
Organization SubpartNo
Authorized OfficialLori LabrecqueAccts Manager · (702) 453-3799
Enumeration DateJanuary 13, 2015
✔ NPI 1063801116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MN · 50217
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1900 SUNRISE DR, Saint Peter, MN 56082

Other Identifiers 1

Other50217MN · Mn Lic 50217

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acacia Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Acacia Medical Group PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1447444666
1515 SAINT FRANCIS AVE SUITE # 100
Shakopee, MN 55379
(952) 403-3535
✔ PECOS✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acacia Medical Group PLLC's NPI number?

The NPI number for Acacia Medical Group PLLC is 1063801116. It was assigned to this organization in the NPPES registry on January 13, 2015.

Where is Acacia Medical Group PLLC located?

Acacia Medical Group PLLC is located at 1900 Sunrise Dr, Saint Peter, MN 56082. The listed phone number is (507) 931-2200.

What is Acacia Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Acacia Medical Group PLLC enrolled in Medicare?

Yes. Acacia Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acacia Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Acacia Medical Group PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Acacia Medical Group PLLC was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.