SUPERIOR PERFORMANCE CENTER SPORTS MEDICINE, PAIN, SPINE, REHABILITAT
NPI 1083124010
Clinic/Center in New Hope, MN

Q: What is Serge B Pierrecharles Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 04, 2017

9220 BASS LAKE RD, SUITE 350, NEW HOPE, MN 55428(763) 208-9545(651) 927-8668 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2020, May 9, 2019, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

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About Superior Performance Center Sports Medicine, Pain, Spine, Rehabilitat NPPES

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

SUPERIOR PERFORMANCE CENTER SPORTS MEDICINE, PAIN, SPINE, REHABILITAT (NPI 1083124010) is a healthcare organization registered as a clinic/center in New Hope, Minnesota and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Saint Paul and lists Serge B Pierrecharles, Owner, as its authorized official.

NPPES Registry Identity

NPI1083124010

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSERGE B PIERRECHARLES MEDICAL GROUP PLLC

Location Address9220 BASS LAKE RD, SUITE 350New Hope, MN 55428-3095

Mailing Address9220 Bass Lake Rd, Suite 350New Hope, MN 55428-3095 · (763) 208-9545 · Fax (651) 927-8668

Phone(763) 208-9545

Fax(651) 927-8668

Organization SubpartNo

Authorized OfficialSerge B PierrecharlesOwner · (646) 234-3795

Enumeration DateOctober 4, 2017

Last NPPES UpdateMarch 25, 20204 updates tracked since enumeration

NPPES CertifiedMarch 25, 2020

✔ NPI 1083124010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MN · 58656

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9220 BASS LAKE RD, New Hope, MN 55428

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Other Names 2

Doing Business AsSuperior Performance Center Sports Medicine, Pain, Spine, Rehabilitat

Doing Business AsElixir Sports Medicine, Pain, Spine, Rehabilitation & Wellness Center

Secondary Practice Location 1

Location 1360 Sherman St Ste 300Saint Paul, MN 55102-2566 · Phone (763) 208-9545 · Fax (651) 927-8668

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Superior Performance Center Sports Medicine, Pain, Spine, Rehabilitat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Superior Performance Center Sports Medicine, Pain, Spine, Rehabilitat, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Serge Pierrecharles, M.D.

Physical Medicine and Rehabilitation

NPI 1609167980

2000 MEDICAL DR
Lakeway, TX 78734

(512) 263-4500

✔ PECOS✔ Accepts Medicare1,045 mi

Lee Chisholm

Physical Therapist in Private Practice

NPI 1306314117

6759 SIERRA CT STE A
Dublin, CA 94568

(925) 803-0530

1,557 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 Serge B Pierrecharles Medical Group PLLC's NPI number?

The NPI number for Serge B Pierrecharles Medical Group PLLC is 1083124010. It was assigned to this organization in the NPPES registry on October 4, 2017. The provider is doing business as Superior Performance Center Sports Medicine, Pain, Spine, Rehabilitat and Elixir Sports Medicine, Pain, Spine, Rehabilitation & Wellness Center.

Where is Serge B Pierrecharles Medical Group PLLC located?

Serge B Pierrecharles Medical Group PLLC is located at 9220 Bass Lake Rd Suite 350, New Hope, MN 55428. The listed phone number is (763) 208-9545.

What is Serge B Pierrecharles Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Serge B Pierrecharles Medical Group PLLC enrolled in Medicare?

Yes. Serge B Pierrecharles Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serge B Pierrecharles Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Serge B Pierrecharles Medical Group PLLC, in Physical Medicine and Rehabilitation and Physical Therapist in Private Practice. 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 Serge B Pierrecharles Medical Group PLLC was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.