ADVANCED BRAIN AND BODY CLINIC PLLC
NPI 1447816632
Specialist in Golden Valley, MN

Active since May 14, 2019
701 DECATUR AVE N STE 109, GOLDEN VALLEY, MN 55427(605) 348-8000(605) 716-0248 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2025, Jun 2, 2023, May 14, 2019 (3 updates tracked since 2019).

About Advanced Brain And Body Clinic Pllc NPPES

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

ADVANCED BRAIN AND BODY CLINIC PLLC (NPI 1447816632) is a healthcare organization registered as a specialist in Golden Valley, Minnesota and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Minnetonka and lists Stephen Paul Manlove, Owner, as its authorized official.

NPPES Registry Identity

NPI1447816632
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED BRAIN AND BODY CLINIC PLLC
Location Address701 DECATUR AVE N STE 109Golden Valley, MN 55427-4363
Mailing Address636 Saint Anne StRapid City, SD 57701-4694 · (605) 348-8000 · Fax (605) 716-0248
Fax(605) 716-0248
Organization SubpartNo
Authorized OfficialStephen Paul ManloveOwner · (605) 348-8000
Enumeration DateMay 14, 2019
Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1447816632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
701 DECATUR AVE N STE 109, Golden Valley, MN 55427

Secondary Practice Location 1

Location 113911 Ridgedale Dr Ste 110Minnetonka, MN 55305-1773 · Phone (605) 348-8000 ext. 211 · Fax (605) 716-0248

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Brain And Body Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Advanced Brain And Body Clinic PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Psychiatry2
Certified Clinical Nurse Specialist (CNS)1
Marriage and Family Therapist1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1124636063
700 DECATUR AVE NORTH STE 109
Golden Valley, MN 55427
(612) 682-4912
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1679230577
701 PARK AVE
Minneapolis, MN 55415
(612) 626-3000
✔ PECOS✔ Accepts Medicare6.5 mi
Psychiatry
NPI 1174757769
2450 RIVERSIDE AVE F282/2A WEST
Minneapolis, MN 55454
(612) 273-9800
✔ PECOS✔ Accepts Medicare7.8 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1518916071
11800 SINGLETREE LN STE 204
Eden Prairie, MN 55344
(612) 440-6557
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1538573449
1700 UNIVERSITY AVE W STE 100
Saint Paul, MN 55104
(952) 924-8117
✔ PECOS✔ Accepts Medicare11 mi
Marriage and Family Therapist
NPI 1649559378
3361 COON RAPIDS BLVD NW
Coon Rapids, MN 55433
(612) 644-6373
✔ PECOS13 mi
Nurse Practitioner
NPI 1396357786
12817 MAIN ST
Rogers, MN 55374
(612) 488-6601
✔ PECOS16 mi
Nurse Practitioner
NPI 1184493355
3555 WILLOW LAKE BLVD STE 290
Vadnais Heights, MN 55110
(952) 431-5330
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1538213541
636 SAINT ANNE ST SUITE 100
Rapid City, SD 57701
(605) 348-8000
✔ PECOS✔ Accepts Medicare490 mi
Psychiatry
NPI 1619021672
636 SAINT ANNE ST SUITE 100
Rapid City, SD 57701
(605) 348-8000
✔ PECOS✔ Accepts Medicare490 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 Advanced Brain And Body Clinic PLLC's NPI number?

The NPI number for Advanced Brain And Body Clinic PLLC is 1447816632. It was assigned to this organization in the NPPES registry on May 14, 2019.

Where is Advanced Brain And Body Clinic PLLC located?

Advanced Brain And Body Clinic PLLC is located at 701 Decatur Ave N Ste 109, Golden Valley, MN 55427. The listed phone number is (605) 348-8000.

What is Advanced Brain And Body Clinic PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Advanced Brain And Body Clinic PLLC enrolled in Medicare?

Yes. Advanced Brain And Body Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Brain And Body Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Brain And Body Clinic 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. The largest specialties are Nurse Practitioner (6), Psychiatry (2) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Brain And Body Clinic PLLC accept?

Health plans from Sanford Health Plan list Advanced Brain And Body Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Brain And Body Clinic PLLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.