PARK NICOLLET HEALTH CARE PRODUCTS
NPI 1881100089
Durable Medical Equipment & Medical Supplies in St Louis Park, MN
NPI Status: Active since December 26, 2017
Contact Information
4916 EXCELSIOR BLVD # MS 61901C
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 993-6832
Fax: (952) 993-0562
- Organization
- Durable Medical Equipment & Medical Supp...
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 24D2208660
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 01-06-2027
About PARK NICOLLET HEALTH CARE PRODUCTS
This page provides the complete NPI Profile along with additional information for Park Nicollet Health Care Products, a provider established in St Louis Park, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1881100089 assigned on December 2017. The practitioner's primary taxonomy code is 332B00000X with license number 6019472 (MN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kristin Denise Brey (Supervisor/delegated Official)
- NPI
- 1881100089
- Provider Name
- PARK NICOLLET HEALTH CARE PRODUCTS
- Entity Type
- Organization
- Location Address
- 4916 EXCELSIOR BLVD # MS 61901C ST LOUIS PARK, MN 55416
- Location Phone
- (952) 993-6832
- Location Fax
- (952) 993-0562
- Mailing Address
- 3800 PARK NICOLLET BLVD # MS 61901C ST LOUIS PARK, MN 55416
- Mailing Phone
- (952) 993-6832
- Mailing Fax
- (952) 993-0562
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-26-2017
- Last Update Date
- 12-05-2024
- Code Navigator
Park Nicollet Health Care Products is a medicare supplier with PTAN 20604995 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Heat & Cold Applications or Pneumatic Compression Devices and/or Supplies or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Ultraviolet Light Devices and/or Supplies or Canes and/or Crutches or Walkers or Orthoses: Off-The-Shelf or Penile Pumps or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Lymphedema Compression Treatment Items.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 6019472
- License State
- MN
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,300 Gold - PPO
- Atlas $2,000 Standard Gold - PPO
- Atlas $3,050 Plus Silver - PPO
- Atlas $3,800 HSA Silver - PPO
- Atlas $6,000 Standard Silver - PPO
- Atlas $6,800 Plus Bronze HSA - PPO
- Atlas $7,500 Standard Bronze HSA - PPO
- Atlas $8,400 HSA Bronze - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20604995
- Accepts Medicare Assignment
- NO
- Specialities List
- Medical Supply Company Other, Orthotic Personnel.
- Competitive Bidding
- NO
Supplies List
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
- Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Penile Pumps -
- Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Lymphedema Compression Treatment Items -
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2208660
- Facility Type
- Hospice
- Certificate Effective Date
- January 07, 2025
- Certificate Expiration Date
- January 06, 2027
- Laboratory Director
- NATHAN LUECK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park Nicollet Health Care Products to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1881100089, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881100089, enumerated as an "organization" on December 26, 2017.
The provider is located at 4916 EXCELSIOR BLVD # MS 61901C ST LOUIS PARK, MN 55416 and the phone number is (952) 993-6832.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.
