WALK-IN CLINIC
NPI 1366742512
Nurse Practitioner in Minneapolis, MN

Active since October 21, 2010CLIA 24D2015460 · Waiver
327 CEDAR AVE S, MINNEAPOLIS, MN 55454(612) 369-1371 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Walk-in Clinic NPPES

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

WALK-IN CLINIC (NPI 1366742512) is a healthcare organization registered as a nurse practitioner in Minneapolis, Minnesota and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Philip Kor, President, as its authorized official.

NPPES Registry Identity

NPI1366742512
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWALK-IN CLINIC INC.
Location Address327 CEDAR AVE SMinneapolis, MN 55454-1030
Mailing Address327 Cedar Ave SMinneapolis, MN 55454-1030 · (612) 369-1371
Organization SubpartNo
Authorized OfficialPhilip KorPresident · (612) 369-1371
Enumeration DateOctober 21, 2010
✔ NPI 1366742512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
327 CEDAR AVE S, Minneapolis, MN 55454

Other Names 1

Doing Business AsWalk-in Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Walk-in Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Walk-In Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1023729381
617 CEDAR AVE S # A49
Minneapolis, MN 55454
(612) 245-8475
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1629727557
1477 W LAKE ST UNIT 431
Minneapolis, MN 55408
(614) 753-2862
✔ PECOS3.0 mi

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 24D2015460

Walk-In Clinic Inc · Minneapolis, MN
Active · expires Oct 27, 2026
CLIA Number24D2015460
Laboratory TypeRetail Clinic
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorIbrahim Waaeys
Laboratory Phone(612) 369-1371
Laboratory LocationWalk-In Clinic Inc327 Cedar Ave S, Minneapolis, MN 55454
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 Walk-In Clinic Inc.'s NPI number?

The NPI number for Walk-In Clinic Inc. is 1366742512. It was assigned to this organization in the NPPES registry on October 21, 2010. The provider is doing business as Walk-In Clinic.

Where is Walk-In Clinic Inc. located?

Walk-In Clinic Inc. is located at 327 Cedar Ave S, Minneapolis, MN 55454. The listed phone number is (612) 369-1371.

What is Walk-In Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Walk-In Clinic Inc. enrolled in Medicare?

Yes. Walk-In Clinic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Walk-In Clinic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Walk-In Clinic Inc.. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Walk-In Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2015460) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walk-In Clinic Inc. was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.