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

NPI Status: Active since September 17, 2007

Contact Information

9855 HOSPITAL DR
STE 175
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 981-3200
Fax: (763) 981-3201

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 24D1075117
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-11-2027

About NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC

This page provides the complete NPI Profile along with additional information for North Memorial Ambulatory Surgery Center At Maple Grove, Llc, a provider established in Maple Grove, Minnesota operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1316133044 assigned on September 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Steven J. Kern M.d. (Medical Director)

NPI
1316133044
Provider Name
NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC
Entity Type
Organization
Location Address
9855 HOSPITAL DR STE 175 MAPLE GROVE, MN 55369
Location Phone
(763) 981-3200
Location Fax
(763) 981-3201
Mailing Address
9855 HOSPITAL DR STE 175 MAPLE GROVE, MN 55369
Mailing Phone
(763) 981-3200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2007
Last Update Date
06-21-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEVEN J. KERN M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(763) 981-3200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1053442OTHER (01)PREFERRED ONE
=========OTHER (01)AMERICAS PPO
68-00092OTHER (01)SELECTCARE
1316133044OTHER (01)MNUCARE
5T43MAOTHER (01)MNBSMN
393688000MEDICAID (05)MN 
68-00092OTHER (01)PATIENT CHOICE
68-00092OTHER (01)LABORCARE
227637OTHER (01)HEALTH PARTNERS
68-00092OTHER (01)MEDICA

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 28 times for 27 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 52 times for 52 patients

Colorectal cancer screening; colonoscopy on individual at high risk

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.

This service was performed 67 times for 67 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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.

This service was performed 49 times for 49 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

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.

This service was performed 29 times for 18 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 14 times for 14 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 16 times for 12 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 25 times for 20 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

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.

This service was performed 52 times for 17 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 27 times for 24 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 22 times for 21 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 27 times for 23 patients

Removal of bone joints between wrist and fingers

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

This service was performed 14 times for 13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 34 times for 34 patients

Repair of groin hernia using an endoscope

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

This service was performed 16 times for 11 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 17 times for 17 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D1075117
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 12, 2025
Certificate Expiration Date
October 11, 2027
Laboratory Director
STEVEN J. KERN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Memorial Ambulatory Surgery Center At Maple Grove, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316133044, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 2 + 3 + 6 + 0 + 8 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1316133044.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Family Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Family Medicine
9855 HOSPITAL DR, STE 102A
MAPLE GROVE, MN 55369
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Clinic/Center (Ambulatory Surgical)
9855 HOSPITAL DR, SUITE 275
MAPLE GROVE, MN 55369
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Nurse Practitioner
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Physician Assistant
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Internal Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Internal Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Clinic/Center (Urgent Care)
9855 HOSPITAL DR
MAPLE GROVE, MN 55369

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316133044, enumerated as an "organization" on September 17, 2007.

The provider is located at 9855 HOSPITAL DR STE 175 MAPLE GROVE, MN 55369 and the phone number is (763) 981-3200.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: HealthPartners, Medicare, Medicaid and Medica. Please consult your insurance carrier or call the provider to verify.