FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC
NPI 1346468253
Clinic/Center - Ambulatory Surgical in Maple Grove, MN

Active since April 23, 2007CLIA 24D2293765 · Waiver
14500 99TH AVENUE NORTH, MAPLE GROVE, MN 55369(763) 898-1424 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 13, 2025, May 7, 2021 (2 updates tracked since 2021).

About Fairview Maple Grove Surgery Center, Llc NPPES

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

FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC (NPI 1346468253) is a healthcare organization registered as an ambulatory surgical in Maple Grove, Minnesota and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Maureen V Ring, Sys Dir Govt Reimb & Netwk Rel, as its authorized official.

NPPES Registry Identity

NPI1346468253
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFAIRVIEW MAPLE GROVE SURGERY CENTER, LLC
Location Address14500 99TH AVENUE NORTHMaple Grove, MN 55369
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (612) 672-6740 · Fax (612) 884-3592
Organization SubpartNo
Authorized OfficialMaureen V RingSys Dir Govt Reimb & Netwk Rel · (612) 672-6740
Enumeration DateApril 23, 2007
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
NPI 1346468253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
14500 99TH AVENUE NORTH, Maple Grove, MN 55369

Accepted 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 24D2293765

Fairview Maple Grove Ambulatory Surgery Center · Maple Grove, MN
Active · expires Nov 13, 2027
CLIA Number24D2293765
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorAshley Hale
Laboratory Phone(763) 898-1000
Laboratory LocationFairview Maple Grove Ambulatory Surgery Center14500 99th Avenue North Ste 500, Maple Grove, MN 55369
CLIA data matches this NPI record on: Address
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
115 services114 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
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.
78 services71 patients
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.
77 services77 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
62 services42 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.
34 services34 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
29 services15 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346468253, enumerated as an "organization" on April 23, 2007.

The provider is located at 14500 99TH AVENUE NORTH MAPLE GROVE, MN 55369 and the phone number is (763) 898-1424.

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

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.