FAIRVIEW CLINICS
NPI 1790977486
Clinic/Center - Primary Care in Maple Grove, MN
About Fairview Clinics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRVIEW CLINICS (NPI 1790977486), doing business as Fairview Clinics-bass Lake, is a healthcare organization registered as a primary care in Maple Grove, Minnesota and active in the NPI registry since August 2007. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Maureen V Ring, Sys Dir Govt Reimb & Netwk Rel, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Fairview Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,297Medicare enrollment records show 2,297 clinicians reassign Medicare billing to Fairview Clinics, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 169 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 67
Nearest to this location (20)
See all 2,297Maple Grove, MN 55369
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 Accreditation 24D1058229
Fairview Clinics Bass Lake Clinic · Maple Grove, MNFrequently 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 Fairview Clinics's NPI number?
The NPI number for Fairview Clinics is 1790977486. It was assigned to this organization in the NPPES registry on August 16, 2007. The provider is doing business as Fairview Clinics-Bass Lake.
Where is Fairview Clinics located?
Fairview Clinics is located at 6320 Wedgewood Rd N, Maple Grove, MN 55311. The listed phone number is (763) 268-0400.
What is Fairview Clinics's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fairview Clinics enrolled in Medicare?
Yes. Fairview Clinics is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairview Clinics?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,297 clinicians in 67 Medicare specialties reassign their Medicare billing to Fairview Clinics. 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 Family Practice (439), Nurse Practitioner (400) and Internal Medicine (296). Of these, 1 practice at this address and 169 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fairview Clinics hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 24D1058229) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fairview Clinics was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Fairview Clinics · NPI 1790977486
Primary Care organization in Maple Grove, Minnesota. Organization record, active in the CMS NPPES registry since August 16, 2007.
## Identity
- **NPI:** 1790977486 (Entity type: Organization)
- **Enumerated:** August 16, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Fairview Clinics-Bass Lake (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Maureen Ring, SYS DIR GOVT REIMB & NETWK REL
## Practice location
- **Address:** 6320 WEDGEWOOD RD N, Maple Grove, MN 55311-3647
- **Phone:** (763) 268-0400 · **Fax:** (763) 268-0405
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,297 clinicians in 67 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (439), Nurse Practitioner (400), Internal Medicine (296); 1 practice at this address and 169 within 10 miles; [full list](https://npiprofile.com/npi/1790977486/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2025
- **Other identifiers:** Medicaid 156927000 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790977486) · Data from the CMS NPPES public registry.