NEIGHBORHOOD HEALTHSOURCE
NPI 1093753782
Clinic/Center - Federally Qualified Health Center (FQHC) in Minneapolis, MN
About Neighborhood Healthsource NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEIGHBORHOOD HEALTHSOURCE (NPI 1093753782), doing business as Fremont Community Health Services, Inc, is a healthcare organization registered as a federally qualified health center (fqhc) in Minneapolis, Minnesota and active in the NPI registry since June 2006. The organization holds 4 active CLIA laboratory certificates and lists Steve J Knutson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Neighborhood Healthsource is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Neighborhood Healthsource, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
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 24D2309245
Neighborhood Healthsource - Outreach Clinic · Minneapolis, MNCertificate of Compliance 24D0915517
Neighborhood Health Source Sheridan Clinic · Minneapolis, MNCertificate of Compliance 24D0401786
Neighborhood Health Source - Fremont Clinic · Minneapolis, MNCertificate of Compliance 24D1041820
Neighborhood Health Source North Metro Clinic · Coon Rapids, MNFrequently 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 Neighborhood Healthsource's NPI number?
The NPI number for Neighborhood Healthsource is 1093753782. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider was formerly known as Fremont Community Health Services, Inc.
Where is Neighborhood Healthsource located?
Neighborhood Healthsource is located at 342 13th Ave NE, Minneapolis, MN 55413. The listed phone number is (612) 588-9411.
What is Neighborhood Healthsource's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Neighborhood Healthsource enrolled in Medicare?
Yes. Neighborhood Healthsource is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Neighborhood Healthsource?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Neighborhood Healthsource. 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 (5), Clinical Social Worker (4) and Family Practice (4). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Neighborhood Healthsource hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Neighborhood Healthsource accept?
Health plans from HealthPartners and Medica list Neighborhood Healthsource as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Neighborhood Healthsource was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Neighborhood Healthsource · NPI 1093753782
Federally Qualified Health Center (FQHC) organization in Minneapolis, Minnesota. Organization record, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1093753782 (Entity type: Organization)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Steve Knutson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 342 13TH AVE NE, Minneapolis, MN 55413-1265
- **Phone:** (612) 588-9411 · **Fax:** (612) 362-4115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Social Worker (4), Family Practice (4); 1 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2023
- **Other identifiers:** Medicaid 591315200 (MN)
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093753782) · Data from the CMS NPPES public registry.