INDEPENDENT MEDICAL CLINIC PA
NPI 1316454077
Internal Medicine in Minneapolis, MN
About Independent Medical Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDEPENDENT MEDICAL CLINIC PA (NPI 1316454077) is a healthcare organization registered as an internal medicine in Minneapolis, Minnesota and active in the NPI registry since January 2018. The organization lists Patrick R Townley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Independent Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Independent Medical Clinic PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Independent Medical Clinic PA's NPI number?
The NPI number for Independent Medical Clinic PA is 1316454077. It was assigned to this organization in the NPPES registry on January 3, 2018.
Where is Independent Medical Clinic PA located?
Independent Medical Clinic PA is located at 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408. The listed phone number is (612) 315-5145.
What is Independent Medical Clinic PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Independent Medical Clinic PA enrolled in Medicare?
Yes. Independent Medical Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Independent Medical Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Independent Medical Clinic PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Independent Medical Clinic PA was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Independent Medical Clinic Pa · NPI 1316454077
Internal Medicine organization in Minneapolis, Minnesota. Organization record, active in the CMS NPPES registry since January 3, 2018.
## Identity
- **NPI:** 1316454077 (Entity type: Organization)
- **Enumerated:** January 3, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Patrick Townley, OWNER
## Practice location
- **Address:** 2639 NICOLLET AVE STE 120, Minneapolis, MN 55408-1629
- **Phone:** (612) 315-5145 · **Fax:** (855) 670-9121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1316454077) · Data from the CMS NPPES public registry.