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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: August 09, 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
Phone(763) 559-2861
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
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Other Names 1

Doing Business AsPartners In Pediatrics

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 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.

Other Providers at the Same Location NPPES 16

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

LAURA WOODBECK MOUSTAFA
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
DR. SUSAN K. MAHLE M.D.
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
PAMELA JEAN NIKSICH M.D.
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
DR. REBECCA A DOEGE MD
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (414) 266-2000
DR. ALLEN P. KUPERMAN M.D.
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
MEGAN ELIZABETH CAMERINO M.D.
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
MRS. ANMARIE L. OPPEL PNP
Nurse Practitioner (Pediatrics)
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
DR. REBECCA HERRMANN DNP
Nurse Practitioner (Pediatrics)
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861

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.

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 and Medica 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 3 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.