FAMILY TREE INC
NPI 1952417412
Clinic/Center - Ambulatory Family Planning Facility in Minneapolis, MN

Active since August 21, 2006CLIA 24D0399071 · Microscopy
1919 NICOLLET AVE, MINNEAPOLIS, MN 55403(612) 473-0800 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2026, Nov 30, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Family Tree Inc NPPES

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

FAMILY TREE INC (NPI 1952417412), doing business as Family Tree Clinic, is a healthcare organization registered as an ambulatory family planning facility in Minneapolis, Minnesota and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through July 31, 2028 and lists Willow Nichols, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1952417412
Entity TypeOrganization
Primary Taxonomy261QA0005X
Legal Business NameFAMILY TREE INC
Location Address1919 NICOLLET AVEMinneapolis, MN 55403
Mailing Address1919 Nicollet AveMinneapolis, MN 55403-3747 · (612) 473-0800
Organization SubpartNo
Authorized OfficialWillow NicholsFinance Director · (612) 473-0812
Enumeration DateAugust 21, 2006
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1952417412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory Family Planning FacilityAmbulatory Health Care Facilities
Taxonomy Code261QA0005X
Definition
An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy.
1919 NICOLLET AVE, Minneapolis, MN 55403

Other Names 1

Doing Business AsFamily Tree Clinic

Other Identifiers 1

Medicaid645753300MN

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Tree Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Family Tree Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1457052664
1919 NICOLLET AVE
Minneapolis, MN 55403
(612) 473-0800
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1033871660
1919 NICOLLET AVE
Minneapolis, MN 55403
(719) 580-9134
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104349364
2810 NICOLLET AVE
Minneapolis, MN 55408
(612) 873-6963
✔ PECOS✔ Accepts Medicare0.8 mi
Certified Nurse Midwife (CNM)
NPI 1497580930
3033 EXCELSIOR BLVD
Minneapolis, MN 55416
(612) 345-5920
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1811652027
671 VANDALIA ST
Saint Paul, MN 55114
(651) 698-2406
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1164877742
671 VANDALIA ST
Saint Paul, MN 55114
(651) 698-2406
✔ PECOS✔ Accepts Medicare4.3 mi
Certified Nurse Midwife (CNM)
NPI 1659917680
1901 44TH AVE N
Minneapolis, MN 55412
(612) 338-2784
✔ PECOS✔ Accepts Medicare5.1 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 24D0399071

Family Tree Clinic · Minneapolis, MN
Active · expires Jul 31, 2028
CLIA Number24D0399071
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 1, 2026
Certificate Expiration DateJuly 31, 2028
Laboratory DirectorKaitlyn Vaske-Wright
Laboratory Phone(612) 473-0819
Laboratory LocationFamily Tree Clinic1919 Nicollet Ave, Minneapolis, MN 55403
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Family Tree Inc's NPI number?

The NPI number for Family Tree Inc is 1952417412. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is doing business as Family Tree Clinic.

Where is Family Tree Inc located?

Family Tree Inc is located at 1919 Nicollet Ave, Minneapolis, MN 55403. The listed phone number is (612) 473-0800.

What is Family Tree Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Family Planning Facility, with taxonomy code 261QA0005X.

Is Family Tree Inc enrolled in Medicare?

Yes. Family Tree Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Tree Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Tree Inc. 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 (4) and Certified Nurse Midwife (CNM) (3). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Tree Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 24D0399071) is associated with this NPI, valid through July 31, 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 Family Tree Inc was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.