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THE MODERN EXPERIENCE CLINIC LLC
NPI 1427921295
Psychiatry & Neurology - Psychiatry in Maple Grove, MN

Active since September 26, 2025
13792 REIMER DR N, MAPLE GROVE, MN 55311(763) 464-9061(763) 333-7174 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2025, Dec 1, 2025 (2 updates tracked since 2025).

About The Modern Experience Clinic Llc NPPES

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

THE MODERN EXPERIENCE CLINIC LLC (NPI 1427921295) is a healthcare organization registered as a psychiatry in Maple Grove, Minnesota and active in the NPI registry since September 2025. The organization lists Daniel Falvey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1427921295
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTHE MODERN EXPERIENCE CLINIC LLC
Location Address13792 REIMER DR NMaple Grove, MN 55311-2219
Mailing Address13792 Reimer Dr NMaple Grove, MN 55311-2219 · (763) 464-9061 · Fax (763) 333-7174
Phone(763) 464-9061
Fax(763) 333-7174
Organization SubpartNo
Authorized OfficialDaniel FalveyMedical Director · (763) 464-9061
Enumeration DateSeptember 26, 2025
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1427921295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
13792 REIMER DR N, Maple Grove, MN 55311
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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)

The Modern Experience Clinic Llc 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 The Modern Experience Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Andrew Rosdhal, APRN
Nurse Practitioner
NPI 1770325763
13792 REIMER DR N
Maple Grove, MN 55311
(763) 458-9494
✔ PECOSSame address
Daniel Falvey, M.D.
Emergency Medicine
NPI 1003194085
5225 23RD AVE S
Fargo, ND 58104
(701) 417-2575
✔ PECOS204 mi

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 The Modern Experience Clinic LLC's NPI number?

The NPI number for The Modern Experience Clinic LLC is 1427921295. It was assigned to this organization in the NPPES registry on September 26, 2025.

Where is The Modern Experience Clinic LLC located?

The Modern Experience Clinic LLC is located at 13792 Reimer Dr N, Maple Grove, MN 55311. The listed phone number is (763) 464-9061.

What is The Modern Experience Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is The Modern Experience Clinic LLC enrolled in Medicare?

Yes. The Modern Experience Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Modern Experience Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to The Modern Experience Clinic LLC, in Emergency Medicine and Nurse Practitioner. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Modern Experience Clinic LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.