THE CLINIC AT WALMART
NPI 1598099772
Nurse Practitioner - Acute Care in Oak Park Heights, MN

Q: What is Stillwater Medical Group's NPI number?

The NPI number for Stillwater Medical Group is 1598099772. It was assigned to this organization in the NPPES registry on September 22, 2009. The provider is doing business as The Clinic At Walmart.

Q: What is Stillwater Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since September 22, 2009

5815 NORELL AVE N, OAK PARK HEIGHTS, MN 55082(651) 439-1234(651) 275-3325 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Clinic At Walmart NPPES

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

THE CLINIC AT WALMART (NPI 1598099772) is a healthcare organization registered as an acute care in Oak Park Heights, Minnesota and active in the NPI registry since September 2009. The organization lists Kirk Nybakken, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1598099772

Entity TypeOrganization

Primary Taxonomy363LA2100X

Legal Business NameSTILLWATER MEDICAL GROUP

Location Address5815 NORELL AVE NOak Park Heights, MN 55082-1766

Mailing Address1500 Curve Crest Blvd WStillwater, MN 55082-6040 · (651) 439-1234 · Fax (651) 275-3325

Phone(651) 439-1234

Fax(651) 275-3325

Organization SubpartNo

Authorized OfficialKirk NybakkenDirector Of Finance · (651) 275-3302

Enumeration DateSeptember 22, 2009

Last NPPES UpdateJanuary 4, 2011

✔ NPI 1598099772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MN · 238

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 238 (MN)

5815 NORELL AVE N, Oak Park Heights, MN 55082

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Other Names 1

Doing Business AsThe Clinic At Walmart

Other Identifiers 1

Medicare PINC03865MN

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

KAYLEE DITTBERNER RPH, PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)