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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC
NPI 1316133044
Clinic/Center - Ambulatory Surgical in Maple Grove, MN

Active since September 17, 2007CLIA 24D1075117 · Waiver
9855 HOSPITAL DR, STE 175, MAPLE GROVE, MN 55369(763) 981-3200(763) 981-3201 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Memorial Ambulatory Surgery Center At Maple Grove, Llc NPPES

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

NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC (NPI 1316133044) is a healthcare organization registered as an ambulatory surgical in Maple Grove, Minnesota and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Cassandra Kay Amundson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316133044
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC
Location Address9855 HOSPITAL DR, STE 175Maple Grove, MN 55369-4772
Mailing Address9855 Hospital Dr Ste 175Maple Grove, MN 55369-7504 · (763) 581-9000 · Fax (763) 581-9001
Phone(763) 981-3200
Fax(763) 981-3201
Organization SubpartNo
Authorized OfficialCassandra Kay AmundsonExecutive Director · (763) 581-9025
Enumeration DateSeptember 17, 2007
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1316133044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9855 HOSPITAL DR, Maple Grove, MN 55369
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Other Identifiers 9

Other1053442Preferred One
Other1316133044MN · Ucare
Other227637Health Partners
Other68-00092Patient Choice
Medicaid393688000MN
Other68-00092Selectcare
Other68-00092Laborcare
Other68-00092Medica
Other5T43MAMN · Bsmn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 of Waiver 24D1075117

North Memorial Ambulatory Surgery Center · Maple Grove, MN
Active · expires Oct 11, 2027
CLIA Number24D1075117
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorSteven J. Kern MD
Laboratory Phone(763) 981-3200
Laboratory LocationNorth Memorial Ambulatory Surgery Center9855 Hospital Drive, Suite 175, Maple Grove, MN 55369
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
71 services71 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
58 services58 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
50 services50 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
42 services25 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
40 services40 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
37 services15 patients

Other Providers at the Same Location NPPES 12

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

NICOLE T LOWE M.D.
Family Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-9220
DR. MARK S HENCH M.D.
Family Medicine
9855 HOSPITAL DR, STE 102A
MAPLE GROVE, MN 55369
Hennepin County (763) 581-9220
BRIAN GLENN LABINE MD
Internal Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-5900
KATHERINE ELLEN TILTON TOMSCHA PA-C
Physician Assistant
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-5900
AFUA AMOAH MD
Internal Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-5900
KRISTIN M LYERLY M.D.
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (952) 993-3282
DR. TRACY LYNN GOSEN CLARY M.D.
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (952) 993-3282
DR. JEANNE NUGENT GENGERKE M.D.
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (952) 993-3282

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 North Memorial Ambulatory Surgery Center At Maple Grove, LLC's NPI number?

The NPI number for North Memorial Ambulatory Surgery Center At Maple Grove, LLC is 1316133044. It was assigned to this organization in the NPPES registry on September 17, 2007.

Where is North Memorial Ambulatory Surgery Center At Maple Grove, LLC located?

North Memorial Ambulatory Surgery Center At Maple Grove, LLC is located at 9855 Hospital Dr Ste 175, Maple Grove, MN 55369. The listed phone number is (763) 981-3200.

What is North Memorial Ambulatory Surgery Center At Maple Grove, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does North Memorial Ambulatory Surgery Center At Maple Grove, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1075117) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Memorial Ambulatory Surgery Center At Maple Grove, LLC accept?

Health plans from HealthPartners list North Memorial Ambulatory Surgery Center At Maple Grove, LLC 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 North Memorial Ambulatory Surgery Center At Maple Grove, LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.