ALLINA HEALTH FARIBAULT CLINIC
NPI 1013213826
Family Medicine in Faribault, MN

Active since January 27, 2011CLIA 24D0398150 · Waiver
100 STATE AVE, FARIBAULT, MN 55021(507) 334-3921(507) 332-6683 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, Nov 22, 2019 and 2 more (5 updates tracked since 2018).

About Allina Health Faribault Clinic NPPES

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

ALLINA HEALTH FARIBAULT CLINIC (NPI 1013213826) is a healthcare organization registered as a family medicine in Faribault, Minnesota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1013213826
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address100 STATE AVEFaribault, MN 55021-6337
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Fax(507) 332-6683
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateJanuary 27, 2011
Last NPPES UpdateJanuary 14, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1013213826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
100 STATE AVE, Faribault, MN 55021

Other Names 1

Doing Business AsAllina Health Faribault Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20120313000132DME · Physician - General PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4,538

Medicare enrollment records show 4,538 clinicians reassign Medicare billing to Allina Health Faribault Clinic, which bills Medicare for the services they deliver. Of these, 41 practice at this address and 49 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 1427364322
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1235663428
100 STATE AVENUE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942723713
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1396745022
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOSSame address
Internal Medicine
NPI 1073576203
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659052876
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1376045112
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720049042
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1518038884
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1821880402
100 STATE AVE
Faribault, MN 55021
(507) 497-3600
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1235504523
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOSSame address
Optometry
NPI 1427140599
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1699483024
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOSSame address
Qualified Audiologist
NPI 1306528419
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ Accepts MedicareSame address
Optometry
NPI 1235218280
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1356954317
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
Same address
Qualified Audiologist
NPI 1255490447
100 STATE AVE
Faribault, MN 55021
(507) 334-5915
✔ Accepts MedicareSame address
General Surgery
NPI 1780189407
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1720115876
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1821291287
100 STATE AVE
Faribault, MN 55021
(507) 334-3921
✔ PECOS✔ Accepts MedicareSame address
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 24D0398150

Allina Health Faribault Clinic · Faribault, MN
Active · expires Jan 24, 2028
CLIA Number24D0398150
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Lawrence J. Burgart
Laboratory Phone(507) 334-3921
Laboratory LocationAllina Health Faribault Clinic100 State Avenue, Faribault, MN 55021
CLIA data matches this NPI record on: Address Name Phone
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 1013213826. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health Faribault Clinic.

Where is Allina Health System located?

Allina Health System is located at 100 State Ave, Faribault, MN 55021. The listed phone number is (507) 334-3921.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Allina Health System enrolled in Medicare?

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

When is Allina Health System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Physician - General Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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, 41 practice at this address and 49 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 24D0398150) is associated with this NPI, valid through January 24, 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.