SPARROW PSYCHIATRY LLC
NPI 1467058321
Nurse Practitioner - Psychiatric/Mental Health in Northfield, MN

Active since December 07, 2020
1300 BOLLENBACHER DR STE B, NORTHFIELD, MN 55057(952) 221-8068 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sparrow Psychiatry Llc NPPES

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

SPARROW PSYCHIATRY LLC (NPI 1467058321) is a healthcare organization registered as a psychiatric/mental health in Northfield, Minnesota and active in the NPI registry since December 2020. The organization lists Julie C Spencer, Sole-member, as its authorized official.

NPPES Registry Identity

NPI1467058321
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSPARROW PSYCHIATRY LLC
Location Address1300 BOLLENBACHER DR STE BNorthfield, MN 55057-3609
Mailing Address1300 Bollenbacher Dr Ste BNorthfield, MN 55057-3609 · (952) 221-8068
Organization SubpartNo
Authorized OfficialJulie C SpencerSole-member · (952) 221-8068
Enumeration DateDecember 7, 2020
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1467058321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1300 BOLLENBACHER DR STE B, Northfield, MN 55057

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)

Sparrow Psychiatry Llc 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 Sparrow Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1689176455
1082 HIGHWAY 3 S
Northfield, MN 55057
(507) 667-9374
✔ PECOS✔ Accepts Medicare1.2 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 Sparrow Psychiatry LLC's NPI number?

The NPI number for Sparrow Psychiatry LLC is 1467058321. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Sparrow Psychiatry LLC located?

Sparrow Psychiatry LLC is located at 1300 Bollenbacher Dr Ste B, Northfield, MN 55057. The listed phone number is (952) 221-8068.

What is Sparrow Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sparrow Psychiatry LLC enrolled in Medicare?

Yes. Sparrow Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sparrow Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sparrow Psychiatry LLC. 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.

When was this NPI record last updated?

The NPPES record for Sparrow Psychiatry LLC was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.