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OPEN DOOR HEALTH CENTER
NPI 1114446283
Clinic/Center - Federally Qualified Health Center (FQHC) in Shakopee, MN

Active since September 11, 2017CLIA Certified · 2 labs
1617 WESTON CT STE 200, SHAKOPEE, MN 55379(952) 492-6342(652) 492-2631 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2026, Jan 16, 2026, Jul 8, 2024 and 1 more (4 updates tracked since 2017).

About Open Door Health Center NPPES

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

OPEN DOOR HEALTH CENTER (NPI 1114446283) is a healthcare organization registered as a federally qualified health center (fqhc) in Shakopee, Minnesota and active in the NPI registry since September 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Jordan, and lists Jennifer Beckius, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114446283
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR HEALTH CENTER
Location Address1617 WESTON CT STE 200Shakopee, MN 55379-4717
Mailing Address309 Holly LnMankato, MN 56001-5422 · (507) 388-2120
Phone(952) 492-6342
Fax(652) 492-2631
Organization SubpartNo
Authorized OfficialJennifer BeckiusCfo · (507) 344-5507
Enumeration DateSeptember 11, 2017
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1114446283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1617 WESTON CT STE 200, Shakopee, MN 55379
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Secondary Practice Location 1

Location 1115 Broadway St SJordan, MN 55352-1664 · Phone (507) 388-2120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Open Door Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Open Door Health Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner12
Dentist4
Clinical Social Worker2
Family Practice2
Chiropractic1
Clinical Psychologist1
Marriage and Family Therapist1

Nearest to this location (20)

See all 23
Ramneet Kaur
Dentist
NPI 1578042693
13000 TECHNOLOGY DR
Eden Prairie, MN 55344
(952) 562-1463
✔ PECOS6.6 mi
Radha Krishna Kumar, MD
Family Practice
NPI 1649258658
9358 ENSIGN AVE S STE C
Bloomington, MN 55438
(952) 942-6789
✔ PECOS✔ Accepts Medicare6.8 mi
Rochelle Perry, FMHNP-BC
Nurse Practitioner
NPI 1023306834
303 E NICOLLET BLVD
Burnsville, MN 55337
(952) 460-4000
✔ PECOS12 mi
Michelle Christian, NP
Nurse Practitioner
NPI 1508921909
2530 HORIZON DR
Burnsville, MN 55337
(651) 209-8640
✔ PECOS13 mi
Gretchen Moen, DNP, APRN, CPNP
Nurse Practitioner
NPI 1922034933
1057 GRAND AVE FL 2
Saint Paul, MN 55105
(651) 384-1736
✔ PECOS21 mi
Alison Forney, MD
Family Practice
NPI 1104989664
2831 SNELLING AVE N
Roseville, MN 55113
(651) 765-5900
✔ PECOS24 mi
Gudrun Teigen, MSW, LICSW, LADC
Clinical Social Worker
NPI 1548700859
1650 MADISON AVE STE 102
Mankato, MN 56001
(507) 345-7012
✔ PECOS48 mi
Matthew Conetta, PSY.D., L.P.
Clinical Psychologist
NPI 1083299531
1400 MADISON AVE STE 352
Mankato, MN 56001
(507) 625-1811
✔ PECOS✔ Accepts Medicare48 mi
Justine Braham, DDS
Dentist
NPI 1407421480
309 HOLLY LN
Mankato, MN 56001
(507) 388-2120
✔ PECOS48 mi
Myra Colakovic
Nurse Practitioner
NPI 1881234003
309 HOLLY LN
Mankato, MN 56001
(507) 388-2120
✔ PECOS✔ Accepts Medicare48 mi
Emily Fett, DNP, RN, CNP
Nurse Practitioner
NPI 1568866531
309 HOLLY LN
Mankato, MN 56001
(507) 388-2120
✔ PECOS48 mi
Angela Ristau, APRN, CNP
Nurse Practitioner
NPI 1912664145
309 HOLLY LN
Mankato, MN 56001
(507) 388-2120
✔ PECOS✔ Accepts Medicare48 mi
Lianne West, NP-C
Nurse Practitioner
NPI 1447794664
309 HOLLY LN
Mankato, MN 56001
(507) 388-2120
✔ PECOS✔ Accepts Medicare48 mi
Meghan Kohler, LMFT
Marriage and Family Therapist
NPI 1801256011
825 S FRONT ST
Mankato, MN 56001
(507) 344-3360
✔ PECOS✔ Accepts Medicare49 mi
Deanna Collins, PMHNP-BC
Nurse Practitioner
NPI 1316500275
610 FLORENCE AVE
Owatonna, MN 55060
(507) 451-2630
✔ PECOS49 mi
Debra Bobendrier, D.C.
Chiropractic
NPI 1295901130
1601 N RIVERFRONT DR
Mankato, MN 56001
(605) 321-2231
✔ Accepts Medicare50 mi
Jennifer Murphy, F.N.P
Nurse Practitioner
NPI 1639610322
1214 E RIVER DR
Mankato, MN 56001
(507) 995-8852
✔ PECOS50 mi
Joellen Krengel, LICSW
Clinical Social Worker
NPI 1962584334
513 5TH ST SW
Willmar, MN 56201
(320) 214-9692
✔ PECOS✔ Accepts Medicare79 mi
Rebecca Gruber, NP
Nurse Practitioner
NPI 1740578475
3300 BIRCH ST STE 3B
Eau Claire, WI 54703
(715) 229-5550
✔ PECOS✔ Accepts Medicare100 mi
Akeira Warner
Dentist
NPI 1295476794
1011 E TAFT AVE
Sapulpa, OK 74066
(918) 212-6943
✔ PECOS621 mi
See all 23 clinicians

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 2

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 24D0887412

Open Door Health Center · Mankato, MN
Active · expires Apr 30, 2028
CLIA Number24D0887412
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorRadha K. Kumar
Laboratory Phone(507) 388-2120
Laboratory LocationOpen Door Health Center309 Holly Lane, Mankato, MN 56001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2340604

Open Door Health Center - Shakopee · Shakopee, MN
Active · expires Mar 18, 2028
CLIA Number24D2340604
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorRadha K. Kumar
Laboratory Phone(507) 388-2120
Laboratory LocationOpen Door Health Center - Shakopee1617 Weston Court, Suite 200, Shakopee, MN 55379
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Open Door Health Center's NPI number?

The NPI number for Open Door Health Center is 1114446283. It was assigned to this organization in the NPPES registry on September 11, 2017.

Where is Open Door Health Center located?

Open Door Health Center is located at 1617 Weston Ct Ste 200, Shakopee, MN 55379. The listed phone number is (952) 492-6342.

What is Open Door Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Open Door Health Center enrolled in Medicare?

Yes. Open Door Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Open Door Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 7 Medicare specialties reassign their Medicare billing to Open Door Health Center. 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 (12), Dentist (4) and Clinical Social Worker (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Open Door Health Center hold CLIA laboratory certificates?

Yes. 2 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.

When was this NPI record last updated?

The NPPES record for Open Door Health Center was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.