Park Nicollet Clinic
NPI 1780621904 · Family Medicine Physician · St Louis Park, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Nicollet Clinic is a Family Medicine Physician organization in St Louis Park, MN (NPI 1780621904).
Provider details
- NPI number
- 1780621904
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Luhrs, Vp Finance(952) 883-7158
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-05-31
- Last updated
- 2021-10-25
- Certified
- 2021-10-25
Frequently asked questions
- What is Park Nicollet Clinic's NPI number?
- Park Nicollet Clinic's National Provider Identifier (NPI) is 1780621904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Nicollet Clinic?
- Park Nicollet Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Park Nicollet Clinic located?
- Park Nicollet Clinic's practice location on file with NPPES is 3800 Park Nicollet Blvd, St Louis Park, MN 55416.
- What is Park Nicollet Clinic's phone number?
- The practice phone number listed in the NPPES registry for Park Nicollet Clinic is (952) 993-3123.
- Does Park Nicollet Clinic accept Medicare?
- Park Nicollet Clinic 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 Park Nicollet Clinic?
- The authorized official listed on Park Nicollet Clinic's NPPES record is Jason Luhrs, Vp Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Nicollet Clinic's NPI active?
- Yes — Park Nicollet Clinic's NPI (1780621904) is active in the NPPES registry as of the last update on 2021-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.