Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PARK NICOLLET CLINIC
NPI 1780621904
Family Medicine in St Louis Park, MN

Q: What is Park Nicollet Clinic's NPI number?

The NPI number for Park Nicollet Clinic is 1780621904. It was assigned to this organization in the NPPES registry on May 31, 2006.

Q: What is Park Nicollet Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 31, 2006

3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3123(952) 993-2770 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Sep 8, 2020, Sep 9, 2019 (3 updates tracked since 2019).

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About Park Nicollet Clinic NPPES

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

PARK NICOLLET CLINIC (NPI 1780621904) is a healthcare organization registered as a family medicine in St Louis Park, Minnesota and active in the NPI registry since May 2006. The organization lists Alita Risinger, Sr Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780621904

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePARK NICOLLET CLINIC

Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416

Mailing Address3800 Park Nicollet Blvd, Att Business ServicesSt Louis Park, MN 55416 · (952) 993-1835 · Fax (952) 993-1808

Phone(952) 993-3123

Fax(952) 993-2770

Organization SubpartNo

Authorized OfficialAlita RisingerSr Vice President, Cfo · (952) 883-5401

Enumeration DateMay 31, 2006

Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1780621904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

3800 PARK NICOLLET BLVD, St Louis Park, MN 55416

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Other Providers at the Same Location NPPES 20

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

PETER MCCORMICK SCHAUB PSYD, LP

Psychologist

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3123

DAVID J NUTZ MD

Physical Medicine & Rehabilitation

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3800

GLENN MATFIN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416

Hennepin County (952) 993-3048

KELLY C GRECO PAC

Physician Assistant

3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3260

KARLA SUSAN ROSENMAN MD

Dermatology

3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3821

DR. KRISTIN A KUNZMAN PSY.D.

Psychologist (Clinical)

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3393

DR. ALISON M LANG M.D.

Dermatology

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3789

DR. CHUNG M LEE M.D.

Radiology (Diagnostic Radiology)

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3212

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 Park Nicollet Clinic's NPI number?

The NPI number for Park Nicollet Clinic is 1780621904. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Park Nicollet Clinic located?

Park Nicollet Clinic is located at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.

What is Park Nicollet Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Park Nicollet Clinic accept?

Health plans from HealthPartners and Medica list Park Nicollet Clinic 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 Park Nicollet Clinic was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.