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NPI 1699434654ActiveOrganization· Preferred Provider Organization· Minneapolis, MN
Preferred Provider Organization in Minneapolis, Minnesota, registered in NPPES in December 2021. The authorized official on file is Cheryl Chavez, Vp Market Delivery.
Overview
| NPI | 1699434654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2021 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All Preferred Provider Organization providers in Minnesota →