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GERIATRIC SERVICES OF MINNESOTA, LLC
NPI 1093131419
Family Medicine - Geriatric Medicine in Minneapolis, MN

Active since March 10, 2014
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 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2025, Apr 16, 2020, Feb 9, 2016 and 1 more (4 updates tracked since 2015).

About Geriatric Services Of Minnesota, Llc NPPES

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

GERIATRIC SERVICES OF MINNESOTA, LLC (NPI 1093131419), doing business as Genevive, is a healthcare organization registered as a geriatric medicine in Minneapolis, Minnesota and active in the NPI registry since March 2014. The organization lists Julia Crist, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093131419
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameGERIATRIC SERVICES OF MINNESOTA, LLC
Location Address3433 BROADWAY ST NE STE 300Minneapolis, MN 55413-1761
Mailing Address3433 Broadway St Ne, Suite 300Minneapolis, MN 55413-1761 · (763) 587-7737 · Fax (763) 587-7781
Phone(763) 587-7737
Fax(651) 383-4551
Organization SubpartNo
Authorized OfficialJulia CristCeo · (763) 587-7737
Enumeration DateMarch 10, 2014
Last NPPES UpdateJune 26, 20254 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1093131419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
3433 BROADWAY ST NE STE 300, Minneapolis, MN 55413
Open in Google Maps ↗

Other Names 1

Doing Business AsGenevive

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)

Geriatric Services Of Minnesota, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to Geriatric Services Of Minnesota, LLC, which bills Medicare for the services they deliver. Of these, 45 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner33
Family Practice9
Geriatric Medicine3
Internal Medicine1

Nearest to this location (20)

See all 46
Jaclyn Guetzko, DNP, APRN, CNP
Nurse Practitioner
NPI 1275914020
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Brianna Ngwa, APRN, AGNP
Nurse Practitioner
NPI 1578020525
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 528-3414
✔ PECOS✔ Accepts MedicareSame address
Alissa Abraham, DNP, APRN, AGNP-C
Nurse Practitioner
NPI 1396417572
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(635) 877-7377
✔ PECOS✔ Accepts MedicareSame address
Rita Anderson, NP
Nurse Practitioner
NPI 1609217769
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Melanie Ashfeld, CNP
Nurse Practitioner
NPI 1669769022
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Kelli Bronder, APRN,CNP,RN
Nurse Practitioner
NPI 1053073866
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Cynthia Carlson, MD
Family Practice
NPI 1427035401
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Momodou Ceesay, GNP
Nurse Practitioner
NPI 1649438417
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Michaela Cielinski, NURSE PRACTITIONER
Nurse Practitioner
NPI 1801320312
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Brian Dixon, MD
Internal Medicine
NPI 1528096161
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Scott Fairbairn, M.D.
Family Practice
NPI 1174553747
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
William Hamilton, MD
Family Practice
NPI 1194715748
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Anil Kumar, M.D.
Family Practice
NPI 1740340611
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Bradley Langley, MD
Family Practice
NPI 1083604722
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Barry Larson, M.D.
Geriatric Medicine
NPI 1275518631
3433 BROADWAY STREET NE SUITE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Sarah Maier, MD
Family Practice
NPI 1710953427
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
John Mielke, M.D.
Geriatric Medicine
NPI 1679508006
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOSSame address
Kelsi Nelson - Holien, M.D.
Family Practice
NPI 1992733976
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
Jane Pederson, M.D.
Geriatric Medicine
NPI 1508147224
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOSSame address
Jennifer Welsh, MD
Family Practice
NPI 1215045885
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
(763) 587-7737
✔ PECOS✔ Accepts MedicareSame address
See all 46 clinicians

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 Geriatric Services Of Minnesota, LLC's NPI number?

The NPI number for Geriatric Services Of Minnesota, LLC is 1093131419. It was assigned to this organization in the NPPES registry on March 10, 2014. The provider is doing business as Genevive.

Where is Geriatric Services Of Minnesota, LLC located?

Geriatric Services Of Minnesota, LLC is located at 3433 Broadway St NE Ste 300, Minneapolis, MN 55413. The listed phone number is (763) 587-7737.

What is Geriatric Services Of Minnesota, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Geriatric Services Of Minnesota, LLC enrolled in Medicare?

Yes. Geriatric Services Of Minnesota, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geriatric Services Of Minnesota, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 4 Medicare specialties reassign their Medicare billing to Geriatric Services Of Minnesota, LLC. 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. The largest specialties are Nurse Practitioner (33), Family Practice (9) and Geriatric Medicine (3). Of these, 45 practice at this address and 46 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Geriatric Services Of Minnesota, LLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.