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NORTHWEST FAMILY CLINICS
NPI 1548366867
Family Medicine in Crystal, MN

Active since September 15, 2006CLIA 24D0402688 · Accreditation
5502 W BROADWAY AVE, SUITE 200, CRYSTAL, MN 55428(763) 504-6500(763) 504-6544 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northwest Family Clinics NPPES

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

NORTHWEST FAMILY CLINICS (NPI 1548366867) is a healthcare organization registered as a family medicine in Crystal, Minnesota and active in the NPI registry since September 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Chris A Stuart, Doctor, as its authorized official.

NPPES Registry Identity

NPI1548366867
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHWEST FAMILY PHYSICIANS PA
Location Address5502 W BROADWAY AVE, SUITE 200Crystal, MN 55428-3508
Mailing Address5700 Bottineau Blvd., Suite 100Crystal, MN 55429 · (763) 504-6500 · Fax (763) 531-2105
Phone(763) 504-6500
Fax(763) 504-6544
Organization SubpartYes
Authorized OfficialChris A StuartDoctor · (763) 504-6500
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 26, 2023
✔ NPI 1548366867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5502 W BROADWAY AVE, Crystal, MN 55428
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Other Names 1

Doing Business AsNorthwest Family Clinics

Other Identifiers 1

Medicaid469208000MN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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 Accreditation 24D0402688

Northwest Family Clinics · Crystal, MN
Active · expires Dec 22, 2027
CLIA Number24D0402688
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorJonathan Tallman
Laboratory Phone(763) 504-6542
Laboratory LocationNorthwest Family Clinics5700 Bottineau Blvd Ste 100, Crystal, MN 55429
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 11

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

JOYCE L ANDERSON NP
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Hennepin County (763) 287-6500
DR. DAWN M BLOMGREN I M.D.
Family Medicine
5502 W BROADWAY AVE, SUITE 200
CRYSTAL, MN 55428
Hennepin County (763) 287-6500
GRETCHEN SOBERAY BETTS DO
Family Medicine
5502 W BROADWAY AVE, NORTHWEST FAMILY PHYSICIANS
CRYSTAL, MN 55428
Hennepin County (763) 504-6500
PATRICIA J VINCENT M.D.
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Hennepin County (763) 287-6500
CHRISTOPHER A BENNETT M.D.
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Hennepin County (763) 287-6500
KATHRYN G JUSTESEN M.D.
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Hennepin County (763) 504-6500
DR. HELLINA TEGAGNE DESSIE D.O.
Family Medicine
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Hennepin County (763) 287-6500
TAMMY GREGERSON P.A.-C
Physician Assistant
5502 W BROADWAY AVE
CRYSTAL, MN 55428
Hennepin County (763) 504-6500

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 Northwest Family Physicians PA's NPI number?

The NPI number for Northwest Family Physicians PA is 1548366867. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Northwest Family Clinics.

Where is Northwest Family Physicians PA located?

Northwest Family Physicians PA is located at 5502 W Broadway Ave Suite 200, Crystal, MN 55428. The listed phone number is (763) 504-6500.

What is Northwest Family Physicians PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Northwest Family Physicians PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0402688) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northwest Family Physicians PA accept?

Health plans from HealthPartners and Medica list Northwest Family Physicians PA 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 Northwest Family Physicians PA was last updated on October 26, 2023. 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.