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OUR LADY OF PEACE
NPI 1629857222
Internal Medicine - Hospice and Palliative Medicine in Saint Paul, MN

Active since September 25, 2023
2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104(651) 789-5031(651) 789-0078 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Our Lady Of Peace NPPES

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

OUR LADY OF PEACE (NPI 1629857222), doing business as Our Lady Of Peace Palliative Care, is a healthcare organization registered as a hospice and palliative medicine in Saint Paul, Minnesota and active in the NPI registry since September 2023. The organization lists Jeffrey Thorne, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629857222
Entity TypeOrganization
Primary Taxonomy207RH0002X
Legal Business NameOUR LADY OF PEACE
Location Address2076 SAINT ANTHONY AVESaint Paul, MN 55104-4543
Mailing Address2076 Saint Anthony AveSaint Paul, MN 55104-4543 · (651) 789-5031
Phone(651) 789-5031
Fax(651) 789-0078
Organization SubpartYes
Authorized OfficialJeffrey ThorneCeo · (651) 789-5031
Enumeration DateSeptember 25, 2023
NPPES CertifiedJanuary 25, 2023
✔ NPI 1629857222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
2076 SAINT ANTHONY AVE, Saint Paul, MN 55104
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Other Names 1

Doing Business AsOur Lady Of Peace Palliative Care

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)

Our Lady Of Peace 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 Our Lady Of Peace, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Pinchback, M.D.
Family Practice
NPI 1710074232
2076 SAINT ANTHONY AVE
Saint Paul, MN 55104
(651) 789-5031
✔ PECOSSame address

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 Our Lady Of Peace's NPI number?

The NPI number for Our Lady Of Peace is 1629857222. It was assigned to this organization in the NPPES registry on September 25, 2023. The provider is doing business as Our Lady of Peace Palliative Care.

Where is Our Lady Of Peace located?

Our Lady Of Peace is located at 2076 Saint Anthony Ave, Saint Paul, MN 55104. The listed phone number is (651) 789-5031.

What is Our Lady Of Peace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Our Lady Of Peace enrolled in Medicare?

Yes. Our Lady Of Peace is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Our Lady Of Peace?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Our Lady Of Peace. 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 Our Lady Of Peace was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.