TRU Wellness Center – Addiction Medicine (Preventive Medicine) Physician, NPI 1386016822
Addiction Medicine (Preventive Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TRU Wellness Center
14525 HIGHWAY 7 STE 250
MINNETONKA, MN 553453734
Phone: (651) 633-7300
Fax: (651) 633-7301
Type: Location
2586 7TH AVE E
NORTH ST PAUL, MN 551093083
Phone: (651) 633-7300
Fax: (651) 633-7301
Type: Mailing
2586 7TH AVE E STE 302
NORTH ST PAUL, MN 551093090
Phone: (651) 633-7300
Fax: (651) 633-7301
Type: Location
3900 NORTHWOODS DR STE 240
SAINT PAUL, MN 551126991
Phone: (651) 633-7300
Fax: (651) 633-7301
Type: Mailing
335 E GERMANN RD STE 110
GILBERT, AZ 852972920
Phone: (480) 656-1500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (41 days ago).
Enrollment records
2
Earliest due date
2026-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210429000892 | O | Clinic/Group Practice | MN | 2026-04-30 |
| O20240806004570 | O | Clinic/Group Practice | AZ | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55345)
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