SPARK MEDICAL PROVIDERS PA
NPI 1760374680
Internal Medicine - Geriatric Medicine in St Louis Park, MN
About Spark Medical Providers Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPARK MEDICAL PROVIDERS PA (NPI 1760374680) is a healthcare organization registered as a geriatric medicine in St Louis Park, Minnesota and active in the NPI registry since July 2025. The organization lists Catherine Ann Lauring, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spark Medical Providers Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Spark Medical Providers PA, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 21Source: 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 Spark Medical Providers PA's NPI number?
The NPI number for Spark Medical Providers PA is 1760374680. It was assigned to this organization in the NPPES registry on July 16, 2025.
Where is Spark Medical Providers PA located?
Spark Medical Providers PA is located at 5320 W 23rd St Ste 130, St Louis Park, MN 55416. The listed phone number is (952) 345-8770.
What is Spark Medical Providers PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Spark Medical Providers PA enrolled in Medicare?
Yes. Spark Medical Providers PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spark Medical Providers PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Spark Medical Providers PA. 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 (18), Emergency Medicine (1) and Family Practice (1). Of these, 6 practice at this address and 20 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 Spark Medical Providers PA was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Spark Medical Providers Pa · NPI 1760374680
Geriatric Medicine organization in St Louis Park, Minnesota. Organization record, active in the CMS NPPES registry since July 16, 2025.
## Identity
- **NPI:** 1760374680 (Entity type: Organization)
- **Enumerated:** July 16, 2025
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Catherine Lauring, CEO
## Practice location
- **Address:** 5320 W 23RD ST STE 130, St Louis Park, MN 55416-1670
- **Phone:** (952) 345-8770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Emergency Medicine (1), Family Practice (1); 6 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1760374680/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760374680) · Data from the CMS NPPES public registry.