SYNERGY FAMILY PHYSICIANS, P.A.
NPI 1548575434
Family Medicine in White Bear Lake, MN

Active since August 16, 2010CLIA 24D2012493 · Microscopy
4422 WHITE BEAR AVE N, WHITE BEAR LAKE, MN 55110(651) 287-8780(651) 287-8786 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Synergy Family Physicians, P.a. NPPES

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

SYNERGY FAMILY PHYSICIANS, P.A. (NPI 1548575434) is a healthcare organization registered as a family medicine in White Bear Lake, Minnesota and active in the NPI registry since August 2010. The organization holds a CLIA Microscopy certificate valid through September 2, 2028 and lists Jennifer A Carpenter, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1548575434
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSYNERGY FAMILY PHYSICIANS, P.A.
Location Address4422 WHITE BEAR AVE NWhite Bear Lake, MN 55110-3475
Mailing Address4422 White Bear Ave NWhite Bear Lake, MN 55110-3475 · (651) 287-8780 · Fax (651) 287-8786
Fax(651) 287-8786
Organization SubpartNo
Authorized OfficialJennifer A CarpenterOwner / President · (651) 287-8780
Enumeration DateAugust 16, 2010
✔ NPI 1548575434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
4422 WHITE BEAR AVE N, White Bear Lake, MN 55110

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)

Synergy Family Physicians, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Synergy Family Physicians, P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Family Practice
NPI 1245205301
4422 WHITE BEAR AVE N
White Bear Lake, MN 55110
(651) 287-8780
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992772354
4422 WHITE BEAR AVE
White Bear Lake, MN 55110
(651) 287-8780
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669662912
4422 WHITE BEAR AVE N
White Bear Lake, MN 55110
(651) 287-8780
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013995570
205 WABASHA ST S
St Paul, MN 55107
(952) 853-8800
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1750169322
8611 W POINT DOUGLAS RD S
Cottage Grove, MN 55016
(651) 241-1884
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1790177822
1532 WESLEY WAY
Lancaster, OH 43130
(406) 535-0887
✔ PECOS✔ Accepts Medicare649 mi
Nurse Practitioner
NPI 1720337702
1170 UNION ST
Manchester, NH 03104
(651) 587-2337
✔ PECOS✔ Accepts Medicare1,080 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 24D2012493

Synergy Family Physicians · White Bear Lake, MN
Active · expires Sep 2, 2028
CLIA Number24D2012493
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2026
Certificate Expiration DateSeptember 2, 2028
Laboratory DirectorDanielle Perry
Laboratory Phone(612) 600-4550
Laboratory LocationSynergy Family Physicians4422 White Bear Avenue, White Bear Lake, MN 55110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Synergy Family Physicians, P.A.'s NPI number?

The NPI number for Synergy Family Physicians, P.A. is 1548575434. It was assigned to this organization in the NPPES registry on August 16, 2010.

Where is Synergy Family Physicians, P.A. located?

Synergy Family Physicians, P.A. is located at 4422 White Bear Ave N, White Bear Lake, MN 55110. The listed phone number is (651) 287-8780.

What is Synergy Family Physicians, P.A.'s specialty?

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

Is Synergy Family Physicians, P.A. enrolled in Medicare?

Yes. Synergy Family Physicians, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synergy Family Physicians, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Synergy Family Physicians, P.A.. 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 (5) and Family Practice (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Synergy Family Physicians, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 24D2012493) is associated with this NPI, valid through September 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Synergy Family Physicians, P.A. was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.