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Wellington Provider Group PC

NPI 1205543246ActiveOrganization· General Practice· Minneapolis, MN

General Practice in Minneapolis, Minnesota, registered in NPPES in October 2022, part of Wellington Provider Group PC. The authorized official on file is Brittany Dennis, Billing/Credentialing Manager.

Overview

NPI1205543246
StatusActive
Entity typeOrganization (subpart)
Parent organizationWellington Provider Group PC
NPI issuedOct 31, 2022
Last updated in NPPESJan 24, 2023
Certified by providerJan 24, 2023

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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