GROUP HEALTH PLAN, INC (NPI# 1659822146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659822146 |
| Entity Type | Organization |
| Organization Name | GROUP HEALTH PLAN, INC |
| Practice Address |
2165 White Bear Ave N Maplewood MN 55109-2707 |
| Practice Telephone | 9528837505 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | DAVID DZIUK (SVP, CFO) |
| Authorized Official Telephone | 9528836535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP 4768 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548802317 | Group Health Plan, Inc | Clinic/Center | 560 6th Ave N, Minneapolis, MN 55411-4332 | 2019-10-14 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1558764597 | Group Health Plan, Inc | Dentist | 4155 County Rd 101 N, Plymouth, MN 55446-2308 | 2014-10-06 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336430149 | Group Health Plan, Inc | Dentist | 2150 Third Avenue, Suite 200, Anoka, MN 55303-2206 | 2011-04-27 |
| 1437276086 | Group Health Plan, Inc | Student in an Organized Health Care Education/Training Program | 401 Phalen Blvd Msc 41103f, Saint Paul, MN 55101-5302 | 2007-03-26 |
| 1538213566 | Group Health Plan, Inc | Dentist | 2251 Connecticut Ave, Healthpartners Central Mn Clinic - Dental, Sartell, MN 56337-4772 | 2007-01-23 |
| 1649331554 | Group Health Plan, Inc | Durable Medical Equipment & Medical Supplies | 601 Jacob Lane, Mail Stop 39300a, Suite 2, Anoka, MN 55303 | 2006-12-13 |
| 1669082947 | Group Health Plan, Inc | Non-Pharmacy Dispensing Site | 8301 47th Ave N, New Hope, MN 55428-4512 | 2020-08-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GROUP HEALTH PLAN, INC. | 8170 33rd Ave S, Mail Stop 21114a, Bloomington, MN 55425 |
| Alabama Business Registrations | Group Health Plan, Inc. | 8170 33rd Ave. S., Bloomington, MN 55425 |
| Street Address |
2165 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714455 | Byron J Marquez | Family Medicine | 2165 White Bear Ave N, Maplewood, MN 55109 | 2006-03-20 |
| 1205311156 | Jessica Anne Lemker | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-26 |
| 1962986927 | Group Health Plan, Inc | Clinic/Center | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-17 |
| 1023557352 | Jennifer Novak | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2017-02-20 |
| 1346797404 | Sheri Michelle Madison | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2016-09-07 |
| 1528417490 | Andrea Brekke | Social Worker | 2165 White Bear Ave N, Maplewood, MN 55109 | 2016-06-10 |
| 1447628086 | Gina Shults | Physician Assistant | 2165 White Bear Ave N, Maplewood, MN 55109 | 2015-09-14 |
| 1619377835 | Ashley Elizabeth Diamond | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-08-25 |
| 1164836821 | Elizabeth Placzek | Pediatrics | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-06-19 |
| 1558793521 | Erik Anders Engelbrektson | Dentist | 2165 White Bear Ave N, Maplewood, MN 55109 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380228 | Kathryn M Michelotti | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2019-08-06 |
| 1992256382 | Kelly Jean Hedblad | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1241 | 2016-10-20 |
| 1346797404 | Sheri Michelle Madison | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2016-09-07 |
| 1588979306 | Katrina Margaret Jackson | Nurse Practitioner | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2010-08-17 |
| 1831266501 | Selina Marie Brugler | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2006-11-29 |
| 1891753828 | Nancy C Grandt | Nurse Practitioner | 1655 Beam Ave, Suite 202, Maplewood, MN 55109-1163 | 2006-05-01 |
| 1285695882 | Cheri L Friedrich | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-03-31 |
| 1033101811 | Joan M. Nyhus | Nurse Practitioner | 1650 Beam Ave, Suite 200, Maplewood, MN 55109-1192 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1043821622 | Byron Howard Herdman | Nurse Practitioner | 20671 State Highway 29, Henning, MN 56551-9521 | 2020-08-16 |
| 1568071058 | Miranda Bea Irene Charley | Nurse Practitioner | 510 Water St E, Cannon Falls, MN 55009-1643 | 2020-07-30 |
| 1861001059 | Angelsisters Home Healthcare Servies LLC | Nurse Practitioner | 10001 Butternut Cir N, Brooklyn Park, MN 55443-1864 | 2020-07-24 |
| 1720606544 | Kendra Marie Robida | Nurse Practitioner | 7245 Guider Dr Apt 317, Woodbury, MN 55125-5358 | 2020-07-08 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1487276556 | Kerriann Godwin | Nurse Practitioner | 842 102nd Ln Ne, Blaine, MN 55434-2642 | 2020-05-12 |
| 1699397851 | School of Health LLC | Nurse Practitioner | 30165 Terryll St, Lindstrom, MN 55045-9310 | 2020-05-11 |
| 1255953626 | Carla Renea Boudoir | Nurse Practitioner | 18342 Kerrville Trl, Lakeville, MN 55044-7310 | 2020-05-08 |
| 1639799745 | Elizabeth Carole Moe | Nurse Practitioner | 2151 Troop Dr, Sartell, MN 56377-4563 | 2020-04-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.