Minnesota Head and Neck Pain Clinic, PA
NPI 1104850155 · Specialist · St Paul, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Minnesota Head and Neck Pain Clinic, PA is a Specialist organization in St Paul, MN (NPI 1104850155).
Provider details
- NPI number
- 1104850155
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Tia Reichert, Chro/Clinic Administrator(763) 577-2484
Specialties & taxonomies
Other Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Frequently asked questions
- What is Minnesota Head and Neck Pain Clinic, PA's NPI number?
- Minnesota Head and Neck Pain Clinic, PA's National Provider Identifier (NPI) is 1104850155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Head and Neck Pain Clinic, PA?
- Minnesota Head and Neck Pain Clinic, PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Minnesota Head and Neck Pain Clinic, PA located?
- Minnesota Head and Neck Pain Clinic, PA's practice location on file with NPPES is 2550 University Ave W, St Paul, MN 55114.
- What is Minnesota Head and Neck Pain Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Minnesota Head and Neck Pain Clinic, PA is (651) 332-7474.
- Does Minnesota Head and Neck Pain Clinic, PA accept Medicare?
- Minnesota Head and Neck Pain Clinic, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Minnesota Head and Neck Pain Clinic, PA?
- The authorized official listed on Minnesota Head and Neck Pain Clinic, PA's NPPES record is Tia Reichert, Chro/Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Head and Neck Pain Clinic, PA's NPI active?
- Yes — Minnesota Head and Neck Pain Clinic, PA's NPI (1104850155) is active in the NPPES registry as of the last update on 2024-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.