ALLINA HEALTH DEAN LAKES CLINIC
NPI 1013213461
Clinic/Center in Shakopee, MN

Active since February 02, 2011CLIA 24D0400833 · Waiver
4201 DEAN LAKES BLVD STE 120, SHAKOPEE, MN 55379(952) 496-6700(952) 445-6448 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2023, Sep 1, 2020, Dec 2, 2019 and 1 more (4 updates tracked since 2019).

About Allina Health Dean Lakes Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLINA HEALTH DEAN LAKES CLINIC (NPI 1013213461) is a healthcare organization registered as a clinic/center in Shakopee, Minnesota and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through September 17, 2028 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1013213461
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address4201 DEAN LAKES BLVD STE 120Shakopee, MN 55379-2850
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Fax(952) 445-6448
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateFebruary 2, 2011
Last NPPES UpdateJanuary 14, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1013213461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4201 DEAN LAKES BLVD STE 120, Shakopee, MN 55379

Other Names 1

Doing Business AsAllina Health Dean Lakes Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allina Health Dean Lakes Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4,538

Medicare enrollment records show 4,538 clinicians reassign Medicare billing to Allina Health Dean Lakes Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 340 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 68

Nurse Practitioner785
Family Practice536
Internal Medicine467
Diagnostic Radiology333
Certified Registered Nurse Anesthetist (CRNA)308
Clinical Social Worker184
Obstetrics/Gynecology172
Clinical Psychologist154
60 other specialties1,599

Nearest to this location (20)

See all 4,538
Nurse Practitioner
NPI 1326883182
4201 DEAN LAKES BLVD STE 120
Shakopee, MN 55379
(952) 496-6700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992466585
4201 DEAN LAKES BLVD STE 120
Shakopee, MN 55379
(952) 496-6700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750482774
4201 DEAN LAKES BLVD STE 120
Shakopee, MN 55379
(952) 496-6700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215602883
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1922816529
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1275228348
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS1.8 mi
Plastic and Reconstructive Surgery
NPI 1023463858
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Clinical Social Worker
NPI 1093191603
1601 SAINT FRANCIS AVE
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1417919267
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Chiropractic
NPI 1619990199
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ Accepts Medicare1.8 mi
General Surgery
NPI 1386840478
1601 SAINT FRANCIS AVE SUITE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
General Surgery
NPI 1316979891
1601 SAINT FRANCIS AVE SUITE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Family Practice
NPI 1841753688
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Nephrology
NPI 1194943886
1601 SAINT FRANCIS AVE SUITE 100
Shakopee, MN 55379
(952) 403-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Registered Dietitian or Nutrition Professional
NPI 1942966494
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ Accepts Medicare1.8 mi
Family Practice
NPI 1245291566
1601 SAINT FRANCIS AVE SUITE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Psychiatry
NPI 1215469689
1601 SAINT FRANCIS AVE STE 100
Shakopee, MN 55379
(952) 428-3535
✔ PECOS✔ Accepts Medicare1.8 mi
Obstetrics/Gynecology
NPI 1780959148
1515 SAINT FRANCIS AVE
Shakopee, MN 55379
(952) 993-3282
✔ PECOS✔ Accepts Medicare1.9 mi
Marriage and Family Therapist
NPI 1093314288
1455 SAINT FRANCIS AVE
Shakopee, MN 55379
(952) 428-3000
✔ PECOS✔ Accepts Medicare1.9 mi
Emergency Medicine
NPI 1699710954
1455 SAINT FRANCIS AVE
Shakopee, MN 55379
(952) 403-3000
✔ PECOS✔ Accepts Medicare1.9 mi
See all 4,538 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0400833

Allina Health Dean Lakes Clinic · Shakopee, MN
Active · expires Sep 17, 2028
CLIA Number24D0400833
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 18, 2026
Certificate Expiration DateSeptember 17, 2028
Laboratory DirectorDr. Jena C. Martin
Laboratory Phone(612) 767-8370
Laboratory LocationAllina Health Dean Lakes Clinic4201 Dean Lakes Blvd Suite 120, Shakopee, MN 55379
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allina Health System's NPI number?

The NPI number for Allina Health System is 1013213461. It was assigned to this organization in the NPPES registry on February 2, 2011. The provider is doing business as Allina Health Dean Lakes Clinic.

Where is Allina Health System located?

Allina Health System is located at 4201 Dean Lakes Blvd Ste 120, Shakopee, MN 55379. The listed phone number is (952) 496-6700.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Allina Health System enrolled in Medicare?

Yes. Allina Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allina Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,538 clinicians in 68 Medicare specialties reassign their Medicare billing to Allina Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (785), Family Practice (536) and Internal Medicine (467). Of these, 3 practice at this address and 340 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Allina Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0400833) is associated with this NPI, valid through September 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allina Health System accept?

Health plans from HealthPartners list Allina Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allina Health System was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.