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THE WELL - EDEN PRAIRIE, OPTUM CIR
NPI 1841716883
General Practice in Eden Prairie, MN

Active since August 22, 2017CLIA 24D2072478 · Waiver
2 OPTUM CIR, EDEN PRAIRIE, MN 55344(952) 205-2170(952) 205-3731 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 22, 2024, May 7, 2024, Aug 22, 2017 (3 updates tracked since 2017).

About The Well - Eden Prairie, Optum Cir NPPES

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

THE WELL - EDEN PRAIRIE, OPTUM CIR (NPI 1841716883) is a healthcare organization registered as a general practice in Eden Prairie, Minnesota and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Joy Kimball, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1841716883
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDEXPRESS PRIMARY CARE MINNESOTA, P.C.
Location Address2 OPTUM CIREden Prairie, MN 55344-2956
Mailing Address423 Fortress BlvdMorgantown, WV 26508-1351 · (304) 225-2500 · Fax (304) 985-6350
Phone(952) 205-2170
Fax(952) 205-3731
Organization SubpartNo
Authorized OfficialJoy KimballContract Manager · (304) 225-2500
Enumeration DateAugust 22, 2017
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1841716883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2 OPTUM CIR, Eden Prairie, MN 55344
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Other Names 1

Doing Business AsThe Well - Eden Prairie, Optum Cir

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Waiver 24D2072478

The Well-Eden Prairie, Optum Circle · Eden Prairie, MN
Active · expires Jan 30, 2028
CLIA Number24D2072478
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorRanjit Singh
Laboratory Phone(952) 205-2170
Laboratory LocationThe Well-Eden Prairie, Optum Circle2 Optum Circle, Eden Prairie, MN 55344
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EAR PROFESSIONALS INTERNATIONAL LLC
Hearing Aid Equipment
2 OPTUM CIR, MN102-0200
EDEN PRAIRIE, MN 55344
Hennepin County (855) 523-9355

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 Medexpress Primary Care Minnesota, P.C.'s NPI number?

The NPI number for Medexpress Primary Care Minnesota, P.C. is 1841716883. It was assigned to this organization in the NPPES registry on August 22, 2017. The provider is doing business as The Well - Eden Prairie, Optum Cir.

Where is Medexpress Primary Care Minnesota, P.C. located?

Medexpress Primary Care Minnesota, P.C. is located at 2 Optum Cir, Eden Prairie, MN 55344. The listed phone number is (952) 205-2170.

What is Medexpress Primary Care Minnesota, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Medexpress Primary Care Minnesota, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2072478) is associated with this NPI, valid through January 30, 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 Medexpress Primary Care Minnesota, P.C. was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.