PARK NICOLLET CLINIC
NPI 1275232423
Clinic/Center in St Louis Park, MN

Active since February 27, 2023CLIA Certified · 2 labs
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(612) 371-5400(952) 993-1762 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Park Nicollet Clinic NPPES

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

PARK NICOLLET CLINIC (NPI 1275232423) is a healthcare organization registered as a clinic/center in St Louis Park, Minnesota and active in the NPI registry since February 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Shakopee, and lists Lisa Bjorkman, Director, as its authorized official.

NPPES Registry Identity

NPI1275232423
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePARK NICOLLET CLINIC
Location Address3850 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave South, Mailstop 21110qBloomington, MN 55425
Fax(952) 993-1762
Organization SubpartNo
Authorized OfficialLisa BjorkmanDirector · (952) 883-7469
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
NPI 1275232423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3850 PARK NICOLLET BLVD, St Louis Park, MN 55416

Secondary Practice Location 1

Location 11415 Saint Francis AveShakopee, MN 55379-3374 · Phone (612) 371-5400 · Fax (952) 993-1762

Accepted Insurance

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 24D1000770

Park Nicollet Clinic · Shakopee, MN
Active · expires Jun 20, 2028
CLIA Number24D1000770
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorRebecca A. Hansen
Laboratory Phone(952) 993-3186
Laboratory LocationPark Nicollet Clinic1515 St Francis Ave, Suite 200, Shakopee, MN 55379
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 24D0400823

Park Nicollet Clinic - Shakopee · Shakopee, MN
Active · expires Oct 1, 2026
CLIA Number24D0400823
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorDr. Steven M. Debol
Laboratory Phone(952) 993-7891
Laboratory LocationPark Nicollet Clinic - Shakopee1415 St Francis Ave, Shakopee, MN 55379
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Park Nicollet Health Care Products carries, from the Medicare DMEPOS supplier directory.

Park Nicollet Health Care Products

DMEPOS supplier · Saint Louis Park, MN

Does not accept Medicare assignment

Park Nicollet Health Care Products has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20605067
Medicare Participant SinceJuly 1, 2002
Supplier Location3850 Park Nicollet BlvdSaint Louis Park, MN 55416
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Traction Equipment
Traction tables, Traction machines, Inversion tables
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Internal Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Pediatrics
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Durable Medical Equipment & Medical Supplies
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

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 Park Nicollet Clinic's NPI number?

The NPI number for Park Nicollet Clinic is 1275232423. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Park Nicollet Clinic located?

Park Nicollet Clinic is located at 3850 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (612) 371-5400.

What is Park Nicollet Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Park Nicollet Clinic accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Park Nicollet Health Care Products does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Park Nicollet Clinic 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.

What insurance does Park Nicollet Clinic accept?

Health plans from HealthPartners list Park Nicollet Clinic 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 Park Nicollet Clinic was last updated on February 27, 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.