CROWN MEDICAL SUPPORT SERVICES CLINIC
NPI 1730546672
Clinic/Center - Community Health in Minneapolis, MN

Active since January 22, 2016
1925 1ST AVE S, MINNEAPOLIS, MN 55403(612) 978-3783(612) 872-4343 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2016, Jan 22, 2016 (2 updates tracked since 2016).

About Crown Medical Support Services Clinic NPPES

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

CROWN MEDICAL SUPPORT SERVICES CLINIC (NPI 1730546672) is a healthcare organization registered as a community health in Minneapolis, Minnesota and active in the NPI registry since January 2016. The organization lists Joyce Ihioma Onyekaba, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730546672
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCROWN MEDICAL SUPPORT SERVICES INC
Location Address1925 1ST AVE SMinneapolis, MN 55403-3724
Mailing Address1925 1st Ave SMinneapolis, MN 55403-3724 · (612) 978-3783 · Fax (612) 872-4343
Fax(612) 872-4343
Organization SubpartNo
Authorized OfficialJoyce Ihioma OnyekabaMedical Director · (612) 978-3783
Enumeration DateJanuary 22, 2016
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1730546672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in MN · 36657
1925 1ST AVE S, Minneapolis, MN 55403

Other Names 1

Doing Business AsCrown Medical Support Services Clinic

Other Identifiers 1

Medicaid957449200MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crown Medical Support Services Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Crown Medical Support Services Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1720045271
1925 1ST AVE S
Minneapolis, MN 55403
(612) 871-4354
✔ PECOSSame address
Nurse Practitioner
NPI 1871034645
1925 1ST AVE S
Minneapolis, MN 55403
(612) 871-4354
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1962692798
2616 NICOLLET AVE
Minneapolis, MN 55408
(612) 871-7878
✔ PECOS0.6 mi
Hospitalist
NPI 1578595617
2220 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 339-3663
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1295235521
3405 3RD ST N
Saint Cloud, MN 56303
(612) 871-2312
✔ PECOS✔ Accepts Medicare61 mi

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 Crown Medical Support Services Inc's NPI number?

The NPI number for Crown Medical Support Services Inc is 1730546672. It was assigned to this organization in the NPPES registry on January 22, 2016. The provider is doing business as Crown Medical Support Services Clinic.

Where is Crown Medical Support Services Inc located?

Crown Medical Support Services Inc is located at 1925 1st Ave S, Minneapolis, MN 55403. The listed phone number is (612) 978-3783.

What is Crown Medical Support Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Crown Medical Support Services Inc enrolled in Medicare?

Yes. Crown Medical Support Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crown Medical Support Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Crown Medical Support Services Inc, in Clinical Social Worker, Hospitalist, Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crown Medical Support Services Inc was last updated on February 26, 2024. 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.