MEDICARE: NORTH STAR HEALTH GROUP, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	103TC1900X	Counseling Psychologist
3	101YM0800X	Mental Health Counselor
4	103T00000X	Psychologist
5	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1467300103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH STAR HEALTH GROUP, P.C.

Provider Business Mailing Address
First Line	:	333 WASHINGTON AVE N FL 3
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-2263
Country	:	US
Telephone Number	:	763-445-2967
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 WASHINGTON AVE N FL 3
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-2263
Country	:	US
Telephone Number	:	763-445-2967
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JONATHAN SNIPES
Credential	:
Telephone Number	:	213-827-3038

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	06/16/2026

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