MODERN THERAPEUTICS PLLC
NPI 1356159891
Anesthesiology in Northfield, MN

Q: What is Modern Therapeutics PLLC's NPI number?

The NPI number for Modern Therapeutics PLLC is 1356159891. It was assigned to this organization in the NPPES registry on December 30, 2024. The provider is doing business as Modern Therapeutics.

Q: What is Modern Therapeutics PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since December 30, 2024CLIA 24D2309900 · Waiver

502 DIVISION ST S, NORTHFIELD, MN 55057(612) 488-2248(612) 488-2248 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Mar 20, 2025, Dec 30, 2024 (3 updates tracked since 2024).

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About Modern Therapeutics Pllc NPPES

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

MODERN THERAPEUTICS PLLC (NPI 1356159891), doing business as Modern Therapeutics, is a healthcare organization registered as an anesthesiology in Northfield, Minnesota and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through August 21, 2028, maintains a secondary practice location in Dundas, and lists Andrea Berube, Owner, as its authorized official.

NPPES Registry Identity

NPI1356159891

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameMODERN THERAPEUTICS PLLC

Location Address502 DIVISION ST SNorthfield, MN 55057-2020

Mailing Address502 Division St SNorthfield, MN 55057-2020 · (612) 488-2248 · Fax (612) 488-2248

Phone(612) 488-2248

Fax(612) 488-2248

Organization SubpartNo

Authorized OfficialAndrea BerubeOwner · (612) 616-7731

Enumeration DateDecember 30, 2024

Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1356159891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

502 DIVISION ST S, Northfield, MN 55057

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Other Names 1

Doing Business AsModern Therapeutics

Secondary Practice Location 1

Location 1200 Schilling Dr SDundas, MN 55019-4075 · Phone (612) 488-2248

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Therapeutics Pllc 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 Modern Therapeutics PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrea Berube

Certified Registered Nurse Anesthetist (CRNA)

NPI 1205223989

502 DIVISION ST S
Northfield, MN 55057

(612) 616-7731

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 24D2309900

Modern Therapeutics · Dundas, MN

Active · expires Aug 21, 2028

CLIA Number24D2309900

Laboratory TypeKetamine Clinic

Certificate Effective DateAugust 22, 2026

Certificate Expiration DateAugust 21, 2028

Laboratory DirectorAshley Hanson

Laboratory Phone(612) 488-2248

Laboratory LocationModern Therapeutics200 Schilling Drive, Dundas, MN 55019

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Modern Therapeutics PLLC's NPI number?

The NPI number for Modern Therapeutics PLLC is 1356159891. It was assigned to this organization in the NPPES registry on December 30, 2024. The provider is doing business as Modern Therapeutics.

Where is Modern Therapeutics PLLC located?

Modern Therapeutics PLLC is located at 502 Division St S, Northfield, MN 55057. The listed phone number is (612) 488-2248.

What is Modern Therapeutics PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Modern Therapeutics PLLC enrolled in Medicare?

Yes. Modern Therapeutics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Therapeutics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Modern Therapeutics PLLC. 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.

Does Modern Therapeutics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2309900) is associated with this NPI, valid through August 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modern Therapeutics PLLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.