CATALYST MEDICAL CLINIC PA
NPI 1457456691
Clinic/Center - Primary Care in Watertown, MN

Active since September 13, 2006CLIA Certified · 2 labs
204 LEWIS AVE S STE 201, WATERTOWN, MN 55388(952) 955-1963(952) 955-1965 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Catalyst Medical Clinic Pa NPPES

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

CATALYST MEDICAL CLINIC PA (NPI 1457456691) is a healthcare organization registered as a primary care in Watertown, Minnesota and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Chaska, and lists Scott M Jensen, President/owner, as its authorized official.

NPPES Registry Identity

NPI1457456691
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCATALYST MEDICAL CLINIC PA
Location Address204 LEWIS AVE S STE 201Watertown, MN 55388-4502
Mailing Address29 E Main StWaconia, MN 55387-1114 · (952) 442-7015 · Fax (952) 442-7016
Fax(952) 955-1965
Organization SubpartNo
Authorized OfficialScott M JensenPresident/owner · (952) 955-1963
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMarch 27, 2018
NPI 1457456691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MN · 1540
204 LEWIS AVE S STE 201, Watertown, MN 55388

Secondary Practice Location 1

Location 11200 Chaska Creek Way, Suite 200Chaska, MN 55318 · Phone (952) 856-1046 · Fax (952) 856-1049

Other Identifiers 1

Medicaid860567000MN

CLIA Laboratory Certificates CMS CLIA 2

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 24D2145538

Catalyst Medical Clinic PA · Chaska, MN
Active · expires Mar 8, 2028
CLIA Number24D2145538
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorScott M. Jensen
Laboratory Phone(952) 856-1046
Laboratory LocationCatalyst Medical Clinic PA1200 Chaska Creek Way Suite 200, Chaska, MN 55318
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D0987715

Catalyst Medical Clinic PA · Watertown, MN
Active · expires Jun 11, 2027
CLIA Number24D0987715
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorScott M. Jensen
Laboratory Phone(952) 955-1963
Laboratory LocationCatalyst Medical Clinic PA204 Lewis Ave Suite 201, Watertown, MN 55388
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
204 LEWIS AVE S STE 201
WATERTOWN, MN 55388

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 Catalyst Medical Clinic PA's NPI number?

The NPI number for Catalyst Medical Clinic PA is 1457456691. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Catalyst Medical Clinic PA located?

Catalyst Medical Clinic PA is located at 204 Lewis Ave S Ste 201, Watertown, MN 55388. The listed phone number is (952) 955-1963.

What is Catalyst Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Catalyst Medical Clinic PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Catalyst Medical Clinic PA was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.