ANDREA CLINCH MD
NPI 1144960808
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since March 30, 2022PECOS Enrolled
420 DELAWARE ST SE, MMC 395, MINNEAPOLIS, MN 55455(612) 626-4939 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrea Clinch Md NPPES

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

ANDREA CLINCH MD (NPI 1144960808) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144960808
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA CLINCHCredential: MD
Location Address420 DELAWARE ST SE, MMC 395Minneapolis, MN 55455
Mailing Address2172 Oakgrove CtHudson, WI 54016-2536 · (651) 587-5334
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 19, 2023
NPI 1144960808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE ST SE, Minneapolis, MN 55455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea Clinch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Genetic Counselor, MS
420 DELAWARE ST SE, MMC 484
MINNEAPOLIS, MN 55455
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485, UNIVERSITY OF MINNESOTA
MINNEAPOLIS, MN 55455
Internal Medicine (Infectious Disease)
420 DELAWARE ST SE, MMC 88
MINNEAPOLIS, MN 55455
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 206
MINNEAPOLIS, MN 55455
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485
MINNEAPOLIS, MN 55455
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485
MINNEAPOLIS, MN 55455
Plastic Surgery
420 DELAWARE ST SE, MMC 122
MINNEAPOLIS, MN 55455
Internal Medicine
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Specialist
420 DELAWARE ST SE, MMC 185
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dietitian, Registered
420 DELAWARE ST SE, MMC 84
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Physician Assistant
420 DELAWARE ST SE, MAYO MAIL CODE 290
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144960808, enumerated as an "individual" on March 30, 2022.

The provider is located at 420 DELAWARE ST SE MMC 395 MINNEAPOLIS, MN 55455 and the phone number is (612) 626-4939.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.