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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: August 09, 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, 2026 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
Phone(952) 496-6700
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
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Other Names 1

Doing Business AsAllina Health Dean Lakes Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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, 2026
CLIA Number24D0400833
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY MARIE REISDORF DNP, APRN,CNP, FNP-C
Nurse Practitioner (Family)
4201 DEAN LAKES BLVD STE 120
SHAKOPEE, MN 55379
Scott County (952) 496-6700
BRIANA RUSSELL
Physician Assistant
4201 DEAN LAKES BLVD STE 120
SHAKOPEE, MN 55379
Scott County (952) 496-6700
NATHAN LEE MARKELL MD
Family Medicine
4201 DEAN LAKES BLVD STE 120
SHAKOPEE, MN 55379
Scott County (952) 496-6700
KEITH D STUEVE PA
Physician Assistant (Medical)
4201 DEAN LAKES BLVD STE 120
SHAKOPEE, MN 55379
Scott County (952) 496-6700
MEGAN JEURISSEN APRN, CNP
Nurse Practitioner (Family)
4201 DEAN LAKES BLVD STE 120
SHAKOPEE, MN 55379
Scott County (952) 496-6700

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.

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, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allina Health System accept?

Health plans from HealthPartners and Medica 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 18 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.