NORTH METRO CLINIC
NPI 1659323459
Clinic/Center - Federally Qualified Health Center (FQHC) in Coon Rapids, MN

Active since May 17, 2006CLIA 24D0402086 · Certificate of Compliance
10081 DOGWOOD ST. NW, SUITE 100, COON RAPIDS, MN 55448(612) 588-9411(763) 783-7944 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About North Metro Clinic NPPES

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

NORTH METRO CLINIC (NPI 1659323459) is a healthcare organization registered as a federally qualified health center (fqhc) in Coon Rapids, Minnesota and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 25, 2028 and lists Steven Jay Knutson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1659323459
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEIGHBORHOOD HEALTHSOURCE
Location Address10081 DOGWOOD ST. NW, SUITE 100Coon Rapids, MN 55448
Mailing Address2301 Central Ave NeMinneapolis, MN 55418 · (612) 588-9411 · Fax (612) 781-3837
Fax(763) 783-7944
Organization SubpartYes
Authorized OfficialSteven Jay KnutsonExecutive Director · (612) 287-2428
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1659323459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedGeneral PracticeTaxonomy 208D00000X
10081 DOGWOOD ST. NW, Coon Rapids, MN 55448

Other Names 1

Doing Business AsNorth Metro Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Metro Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to North Metro Clinic, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner5
Clinical Social Worker4
Family Practice4

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1295374171
6000 EARLE BROWN DR
Brooklyn Center, MN 55430
(952) 993-4900
✔ PECOS✔ Accepts Medicare6.4 mi
Family Practice
NPI 1326075821
3300 FREMONT AVE N
Minneapolis, MN 55412
(612) 588-9411
✔ PECOS✔ Accepts Medicare9.6 mi
Clinical Social Worker
NPI 1376911347
3300 FREMONT AVE N
Minneapolis, MN 55412
(612) 588-9411
✔ PECOS✔ Accepts Medicare9.6 mi
Family Practice
NPI 1508835422
3300 FREMONT AVE N
Minneapolis, MN 55412
(612) 588-9411
✔ PECOS✔ Accepts Medicare9.6 mi
Clinical Social Worker
NPI 1255841573
2301 CENTRAL AVE NE
Minneapolis, MN 55418
(612) 588-9411
✔ PECOS✔ Accepts Medicare9.9 mi
Clinical Social Worker
NPI 1235589797
2301 CENTRAL AVE NE
Minneapolis, MN 55418
(612) 588-9411
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1205945821
9825 HOSPITAL DR STE 205
Maple Grove, MN 55369
(763) 587-7000
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1194757419
342 13TH AVE NE
Minneapolis, MN 55413
(612) 588-9411
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1144866336
2810 NICOLLET AVE
Minneapolis, MN 55408
(612) 873-6963
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1083486468
122 CASE AVE
Saint Paul, MN 55117
(218) 780-7931
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1497529796
555 CEDAR ST
Saint Paul, MN 55101
(651) 266-1255
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1396487021
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare88 mi
Nurse Practitioner
NPI 1598019663
302 NE 14TH ST
Leon, IA 50144
(641) 446-2382
✔ PECOS✔ Accepts Medicare305 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 of Compliance 24D0402086

Neighborhood Health Source Central Avenue Clinic · Minneapolis, MN
Active · expires Oct 25, 2028
CLIA Number24D0402086
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 26, 2026
Certificate Expiration DateOctober 25, 2028
Laboratory DirectorRobin Bresette
Laboratory Phone(612) 277-3183
Laboratory LocationNeighborhood Health Source Central Avenue Clinic2301 Central Avenue NE, Minneapolis, MN 55418
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Neighborhood Healthsource's NPI number?

The NPI number for Neighborhood Healthsource is 1659323459. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as North Metro Clinic.

Where is Neighborhood Healthsource located?

Neighborhood Healthsource is located at 10081 Dogwood St. NW Suite 100, Coon Rapids, MN 55448. The listed phone number is (612) 588-9411.

What is Neighborhood Healthsource's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Neighborhood Healthsource enrolled in Medicare?

Yes. Neighborhood Healthsource is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neighborhood Healthsource?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Neighborhood Healthsource. 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), Clinical Social Worker (4) and Family Practice (4). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Neighborhood Healthsource hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0402086) is associated with this NPI, valid through October 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Neighborhood Healthsource accept?

Health plans from HealthPartners list Neighborhood Healthsource 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 Neighborhood Healthsource was last updated on June 29, 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.