Integrated Med Group PLLC
NPI 1609474998 · Medical Specialty Clinic/Center · Brooklyn Center, MN
Integrated Med Group PLLC is a Medical Specialty Clinic/Center organization in Brooklyn Center, MN (NPI 1609474998).
Provider details
- NPI number
- 1609474998
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Stadther, Ceo/Owner(763) 515-8799
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-10-09
- Last updated
- 2020-10-09
- Certified
- 2020-10-08
Frequently asked questions
- What is Integrated Med Group PLLC's NPI number?
- Integrated Med Group PLLC's National Provider Identifier (NPI) is 1609474998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Med Group PLLC?
- Integrated Med Group PLLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Integrated Med Group PLLC located?
- Integrated Med Group PLLC's practice location on file with NPPES is 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765.
- What is Integrated Med Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Med Group PLLC is (763) 515-8799.
- Who is the authorized official for Integrated Med Group PLLC?
- The authorized official listed on Integrated Med Group PLLC's NPPES record is Jason Stadther, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Med Group PLLC's NPI active?
- Yes — Integrated Med Group PLLC's NPI (1609474998) is active in the NPPES registry as of the last update on 2020-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.