PARTNERS IN PEDIATRICS
NPI 1013278720
Clinic/Center - Primary Care in Maple Grove, MN

Active since May 30, 2012CLIA 24D0400712 · Accreditation
12720 BASS LAKE RD, MAPLE GROVE, MN 55369(763) 559-2861(763) 559-1338 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2022, Oct 6, 2020, Nov 16, 2018 and 1 more (4 updates tracked since 2017).

About Partners In Pediatrics NPPES

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

PARTNERS IN PEDIATRICS (NPI 1013278720) is a healthcare organization registered as a primary care in Maple Grove, Minnesota and active in the NPI registry since May 2012. The organization holds an CLIA Accreditation certificate valid through April 17, 2028 and lists Brenda Lu Alexander Mccormick, Sr. Vp And Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1013278720
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHILDREN'S CLINIC NETWORK
Location Address12720 BASS LAKE RDMaple Grove, MN 55369-6307
Mailing Address5901 Lincoln Drive, Cbc-2-rev/peEdina, MN 55436-1611 · (952) 992-5691 · Fax (952) 992-6917
Fax(763) 559-1338
Organization SubpartNo
Authorized OfficialBrenda Lu Alexander MccormickSr. Vp And Chief Financial Officer · (612) 813-6129
Enumeration DateMay 30, 2012
Last NPPES UpdateOctober 31, 20224 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1013278720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12720 BASS LAKE RD, Maple Grove, MN 55369

Other Names 1

Doing Business AsPartners In Pediatrics

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)

Partners In Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Partners In Pediatrics, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Pediatric Medicine43
Nurse Practitioner15
Clinical Social Worker4

Nearest to this location (20)

See all 62
Pediatric Medicine
NPI 1477931152
12720 BASS LAKE RD
Maple Grove, MN 55369
(763) 559-2861
✔ PECOSSame address
Pediatric Medicine
NPI 1205151669
12720 BASS LAKE RD
Maple Grove, MN 55369
(414) 266-2000
✔ PECOSSame address
Clinical Social Worker
NPI 1902688237
12720 BASS LAKE RD
Maple Grove, MN 55369
(763) 278-0832
✔ PECOSSame address
Nurse Practitioner
NPI 1558053561
12720 BASS LAKE RD
Maple Grove, MN 55369
(763) 559-2861
✔ PECOSSame address
Pediatric Medicine
NPI 1871560532
12720 BASS LAKE RD
Maple Grove, MN 55369
(763) 559-2861
✔ PECOSSame address
Pediatric Medicine
NPI 1003236704
12720 BASS LAKE RD
Maple Grove, MN 55369
(763) 559-2861
✔ PECOSSame address
Pediatric Medicine
NPI 1063498673
12720 BASS LAKE RD
Maple Grove, MN 55369
(763) 559-2861
✔ PECOSSame address
Pediatric Medicine
NPI 1790753580
12720 BASS LAKE RD
Maple Grove, MN 55369
(763) 559-2861
✔ PECOSSame address
Nurse Practitioner
NPI 1538136643
12720 BASS LAKE RD
Maple Grove, MN 55369
(763) 559-2861
✔ PECOSSame address
Nurse Practitioner
NPI 1952097503
2855 CAMPUS DR STE 350
Plymouth, MN 55441
(612) 743-7245
✔ PECOS3.8 mi
Pediatric Medicine
NPI 1477828515
2855 CAMPUS DR #350
Plymouth, MN 55441
(763) 520-1200
✔ PECOS3.8 mi
Nurse Practitioner
NPI 1922334036
2855 CAMPUS DR #350
Plymouth, MN 55441
(763) 520-1200
✔ PECOS3.8 mi
Pediatric Medicine
NPI 1407823560
2855 CAMPUS DR #350
Plymouth, MN 55441
(763) 520-1200
✔ PECOS3.8 mi
Pediatric Medicine
NPI 1124095427
2855 CAMPUS DR #350
Plymouth, MN 55441
(763) 520-1200
✔ PECOS3.8 mi
Pediatric Medicine
NPI 1396712022
3366 OAKDALE AVE N #501
Robbinsdale, MN 55422
(763) 588-0758
✔ PECOS6.9 mi
Pediatric Medicine
NPI 1265409940
3366 OAKDALE AVE N #501
Robbinsdale, MN 55422
(763) 588-0758
✔ PECOS6.9 mi
Nurse Practitioner
NPI 1598191389
8500 EDINBROOK PKWY
Brooklyn Park, MN 55443
(763) 425-1211
✔ PECOS7.2 mi
Pediatric Medicine
NPI 1295702744
8500 EDINBROOK PKWY
Brooklyn Park, MN 55443
(763) 425-1211
✔ PECOS7.2 mi
Nurse Practitioner
NPI 1477758696
8500 EDINBROOK PKWY
Brooklyn Park, MN 55443
(763) 425-1211
✔ PECOS7.2 mi
Nurse Practitioner
NPI 1255309373
8500 EDINBROOK PKWY
Brooklyn Park, MN 55443
(763) 425-1211
✔ PECOS7.2 mi
See all 62 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 Accreditation 24D0400712

Children's Clinic Network Dba Partners In Pediatrics Maple Grove · Maple Grove, MN
Active · expires Apr 17, 2028
CLIA Number24D0400712
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorDr. Laura Woodbeck Moustafa
Laboratory Phone(763) 559-2861
Laboratory LocationChildren's Clinic Network Dba Partners In Pediatrics Maple Grove12720 Bass Lake Road, Maple Grove, MN 55369
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Children's Clinic Network's NPI number?

The NPI number for Children's Clinic Network is 1013278720. It was assigned to this organization in the NPPES registry on May 30, 2012. The provider is doing business as Partners In Pediatrics.

Where is Children's Clinic Network located?

Children's Clinic Network is located at 12720 Bass Lake Rd, Maple Grove, MN 55369. The listed phone number is (763) 559-2861.

What is Children's Clinic Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Children's Clinic Network enrolled in Medicare?

Yes. Children's Clinic Network is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Children's Clinic Network?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 3 Medicare specialties reassign their Medicare billing to Children's Clinic Network. 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 Pediatric Medicine (43), Nurse Practitioner (15) and Clinical Social Worker (4). Of these, 9 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Children's Clinic Network hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0400712) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Children's Clinic Network accept?

Health plans from HealthPartners list Children's Clinic Network 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 Children's Clinic Network was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.