Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

North Memorial Endoscopy Center at Maple Grove, LLC

Ambulatory Surgical Clinic/Center in Maple Grove, MN · enumerated 2007 · authorized official Greg Mevissen, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720274467

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name North Memorial Endoscopy Center at Maple Grove, LLC

Practice address 9855 Hospital Dr, Suite 275, Maple Grove, MN, 55369

Phone (763) 981-3200

Enumeration date Sep 17, 2007

Last updated in NPPES Jun 21, 2018

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Greg Mevissen

Title Medical Director

Phone (763) 981-3200

Other identifiers

Identifier	Type	State	Issuer
1053443	Other	-	PREFERRED ONE
227634	Other	-	HEALTH PARTNERS
68-00093	Other	-	SELECTCARE
68-00093	Other	-	PATIENT CHOICE
48004500	Medicaid	MN	-
5T42MA	Other	MN	BSMN
68-00093	Other	-	LABORCARE
1720274467	Other	MN	UCARE
68-00093	Other	-	MEDICA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-06-21. Verify at npiregistry.cms.hhs.gov.

Where is North Memorial Endoscopy Center at Maple Grove, LLC located?

The practice location on file with NPPES is in Maple Grove, MN.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-21.