Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optum Medical Services, PC

Organization Nurse Practitioner · NPI 1144769241

Optum Medical Services, PC is a Nurse Practitioner in Eden Prairie, Minnesota. Licensed in Alabama, Arizona, Colorado and Georgia and 3 more. Registered with an NPI since 2017.

Licensed in
AL, AZ, CO, GA, MO, OH
In the registry since
2017
Specialties on file
7
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11020 Optum Cir MN102-0600
Eden Prairie, MN 55344-2503
Phone: (952) 205-0455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X (PA)
Nurse Practitioner Taxonomy 363L00000X (GA)
Nurse Practitioner Taxonomy 363L00000X (AL)
Nurse Practitioner Taxonomy 363L00000X (OH)
Nurse Practitioner Taxonomy 363L00000X (CO)
Nurse Practitioner Taxonomy 363L00000X (AZ)
Nurse Practitioner Taxonomy 363L00000X (MO)

Record details

NPI number1144769241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Shumacher — Chief Medical Officer · (240) 683-5331
Other names Aor
NPI enumeratedFebruary 22, 2017
Last updated in NPPESAugust 8, 2017
Mailing address1009 Windcross Ct, Suite 101, Franklin, TN 37067-2678

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