MEDICARE: NEXUS FAMILY HEALING

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	320800000X	Mental Illness Community Based Residential Treatment Facility
3	261Q00000X	Clinic/Center
4	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11-1111111	OTHER	MN	FEE FOR SERVICE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851905251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXUS FAMILY HEALING

Provider Business Mailing Address
First Line	:	2121 CAMPUS DR SE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55904-4744
Country	:	US
Telephone Number	:	763-551-8640
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 CAMPUS DR SE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55904-4744
Country	:	US
Telephone Number	:	763-551-8640
Fax Number	:

Authorized Official
Title or Position	:	CONTRACT MANAGER
Name	:	LISA ASPER
Credential	:
Telephone Number	:	763-226-8397

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	05/27/2026

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Directions to “NEXUS FAMILY HEALING ” Practice Location

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