ASSOCIATED NEPHROLOGY CONSULTANTS, P.A.
NPI 1104976158
Internal Medicine - Nephrology in Maplewood, MN

Active since January 11, 2007CLIA 24D1103593 · Microscopy
1997 SLOAN PL STE 17, MAPLEWOOD, MN 55117(651) 772-6251(651) 224-9661 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Associated Nephrology Consultants, P.a. NPPES

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

ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. (NPI 1104976158) is a healthcare organization registered as a nephrology in Maplewood, Minnesota and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 14, 2027 and lists Shannon Elizabeth Doyle, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1104976158
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameASSOCIATED NEPHROLOGY CONSULTANTS, P.A.
Location Address1997 SLOAN PL STE 17Maplewood, MN 55117-2051
Mailing Address2854 Highway 55, Suite 130Eagan, MN 55121-1447 · (651) 842-3378 · Fax (651) 224-5273
Fax(651) 224-9661
Organization SubpartNo
Authorized OfficialShannon Elizabeth DoyleOwner Ceo · (651) 772-6251
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1104976158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1997 SLOAN PL STE 17, Maplewood, MN 55117

Other Identifiers 1

Medicaid223012700MN

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)

Associated Nephrology Consultants, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Associated Nephrology Consultants, P.A., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nephrology8
Nurse Practitioner6
Internal Medicine1

Clinicians, nearest first (15)

Nephrology
NPI 1518386093
1997 SLOAN PL STE 17
Maplewood, MN 55117
(651) 772-6251
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1326005679
1997 SLOAN PL STE 17
Maplewood, MN 55117
(651) 772-6251
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083475776
1997 SLOAN PL STE 17
Maplewood, MN 55117
(651) 772-6251
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1326281056
1997 SLOAN PL STE 17
Maplewood, MN 55117
(651) 772-6251
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1619138849
1997 SLOAN PL STE 17
Maplewood, MN 55117
(651) 772-6251
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1992033922
1997 SLOAN PL STE 17
Maplewood, MN 55117
(517) 726-2516
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144894528
1997 SLOAN PL STE 17
Maplewood, MN 55117
(651) 772-6251
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1538126867
1997 SLOAN PL STE 17
Maplewood, MN 55117
(651) 772-6251
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225994676
1997 SLOAN PL STE 17
Maplewood, MN 55117
(651) 772-6251
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1275094302
1997 SLOAN PL STE 17
Maplewood, MN 55117
(317) 278-2689
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1780831529
225 SMITH AVE N STE 300
Saint Paul, MN 55102
(651) 241-5000
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1811129273
360 SHERMAN ST. SUITE 250
St Paul, MN 55102
(651) 772-6251
✔ PECOS4.1 mi
Nephrology
NPI 1548227739
360 SHERMAN ST. SUITE 250
St Paul, MN 55102
(651) 772-6251
✔ PECOS4.1 mi
Nurse Practitioner
NPI 1750513750
3300 OAKDALE AVE N
Robbinsdale, MN 55422
(763) 520-5200
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1861471666
5525 CEDAR LAKE RD S
St Louis Park, MN 55416
(952) 541-7157
✔ PECOS✔ Accepts Medicare13 mi

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

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 for Provider-Performed Microscopy Procedures (PPMP) 24D1103593

Associated Nephrology Consultants · Maplewood, MN
Active · expires Aug 14, 2027
CLIA Number24D1103593
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorDavid H. Warden
Laboratory Phone(651) 772-6251
Laboratory LocationAssociated Nephrology Consultants1997 Sloan Place Suite 17, Maplewood, MN 55117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Associated Nephrology Consultants, P.A.'s NPI number?

The NPI number for Associated Nephrology Consultants, P.A. is 1104976158. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Associated Nephrology Consultants, P.A. located?

Associated Nephrology Consultants, P.A. is located at 1997 Sloan Pl Ste 17, Maplewood, MN 55117. The listed phone number is (651) 772-6251.

What is Associated Nephrology Consultants, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Associated Nephrology Consultants, P.A. enrolled in Medicare?

Yes. Associated Nephrology Consultants, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associated Nephrology Consultants, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Associated Nephrology Consultants, P.A.. 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 Nephrology (8), Nurse Practitioner (6) and Internal Medicine (1). Of these, 9 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Associated Nephrology Consultants, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 24D1103593) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Associated Nephrology Consultants, P.A. was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.