OrganizationActive
Nw Family Practice Rogers
NPI 1093898322 · Non-Pharmacy Dispensing Site · Rogers, MN
Nw Family Practice Rogers is a Non-Pharmacy Dispensing Site organization in Rogers, MN (NPI 1093898322).
Provider details
- NPI number
- 1093898322
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- 17330 (MN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21305 John Milless Dr
Rogers, MN 55374-9450
Phone: (612) 428-2206
Fax: (612) 428-2530
Street-level locationGet directions
Mailing address
21305 John Milless Dr
Rogers, MN 55374-9450
Other names (DBA / former)
- Doing business as
- Nw Family Practice Rogers
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Nw Family Practice Rogers's NPI number?
- Nw Family Practice Rogers's National Provider Identifier (NPI) is 1093898322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nw Family Practice Rogers?
- Nw Family Practice Rogers is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Nw Family Practice Rogers located?
- Nw Family Practice Rogers's practice location on file with NPPES is 21305 John Milless Dr, Rogers, MN 55374-9450.
- What is Nw Family Practice Rogers's phone number?
- The practice phone number listed in the NPPES registry for Nw Family Practice Rogers is (612) 428-2206.
- Who is the authorized official for Nw Family Practice Rogers?
- The authorized official listed on Nw Family Practice Rogers's NPPES record is Direndia Shackelford, Managed Care Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nw Family Practice Rogers's NPI active?
- Yes — Nw Family Practice Rogers's NPI (1093898322) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.