OrganizationActive
Apple Valley Medical Clinic, Ltd.
NPI 1346550555 · Family Medicine Physician · Apple Valley, MN
Provider details
- NPI number
- 1346550555
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Apple Valley Medical Clinic, Ltd.
- Organization subpart
- Yes
- Authorized official
- Mark Pottenger, Administrator(952) 953-9285
- License
- 723 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
15100 Galaxie Ave
Apple Valley, MN 55124
Phone: (952) 432-6161
Fax: (952) 891-3921
Street-level locationGet directions
Mailing address
14655 Galaxie Ave
Apple Valley, MN 55124
Other names (DBA / former)
- Other name
- Apple Valley Medical Center Sleep Lab
Registry dates
- Enumerated
- 2010-10-21
- Last updated
- 2017-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.