INTEGRO CLINIC PLLC
NPI 1114602281
Psychiatry & Neurology - Psychiatry in Edina, MN
About Integro Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRO CLINIC PLLC (NPI 1114602281) is a healthcare organization registered as a psychiatry in Edina, Minnesota and active in the NPI registry since June 2023. The organization lists Alfredo A Massa Succar, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Integro Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Integro Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Integro Clinic PLLC's NPI number?
The NPI number for Integro Clinic PLLC is 1114602281. It was assigned to this organization in the NPPES registry on June 16, 2023.
Where is Integro Clinic PLLC located?
Integro Clinic PLLC is located at 6545 France Ave S Ste 501, Edina, MN 55435. The listed phone number is (612) 428-4757.
What is Integro Clinic PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Integro Clinic PLLC enrolled in Medicare?
Yes. Integro Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integro Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Integro Clinic PLLC, in Nurse Practitioner and Psychiatry. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Integro Clinic PLLC accept?
Health plans from HealthPartners list Integro Clinic PLLC 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 Integro Clinic PLLC was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Integro Clinic Pllc · NPI 1114602281
Psychiatry organization in Edina, Minnesota. Organization record, active in the CMS NPPES registry since June 16, 2023.
## Identity
- **NPI:** 1114602281 (Entity type: Organization)
- **Enumerated:** June 16, 2023
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Alfredo Massa Succar, MD/OWNER
## Practice location
- **Address:** 6545 FRANCE AVE S STE 501, Edina, MN 55435-2116
- **Phone:** (612) 428-4757
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114602281) · Data from the CMS NPPES public registry.