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WAYZATA CHILDREN'S CLINIC P.A.
NPI 1023081577
Pediatrics in Minnetonka, MN

Active since February 07, 2006CLIA 24D0400933 · Waiver
14001 RIDGEDALE DR, #100, MINNETONKA, MN 55305(952) 473-0211(952) 473-7908 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wayzata Children's Clinic P.a. NPPES

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

WAYZATA CHILDREN'S CLINIC P.A. (NPI 1023081577) is a healthcare organization registered as a pediatrics in Minnetonka, Minnesota and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Martha R. Engelbrekt, President, as its authorized official.

NPPES Registry Identity

NPI1023081577
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAYZATA CHILDREN'S CLINIC P.A.
Location Address14001 RIDGEDALE DR, #100Minnetonka, MN 55305-1753
Mailing Address14001 Ridgedale Dr, #100Minnetonka, MN 55305-1753 · (952) 473-0211 · Fax (952) 473-7908
Phone(952) 473-0211
Fax(952) 473-7908
Organization SubpartNo
Authorized OfficialMartha R. EngelbrektPresident · (952) 473-0211
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 5, 2017
✔ NPI 1023081577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14001 RIDGEDALE DR, Minnetonka, MN 55305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 24D0400933

Wayzata Childrens Clinic - Minnetonka · Minnetonka, MN
Active · expires Dec 31, 2027
CLIA Number24D0400933
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Jessie L. Arnason
Laboratory Phone(952) 473-0211
Laboratory LocationWayzata Childrens Clinic - Minnetonka14001 Ridgedale Drive, Suite 100, Minnetonka, MN 55305
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. GREGG ALLAN TEIGEN M.D.
Obstetrics & Gynecology
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
MRS. CAROL ANN OLSON NURSE PRACTITIONER
Nurse Practitioner
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
DR. TERRI SUE JOHNSON M.D.
Obstetrics & Gynecology
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
ADVANCED CARE CHIROPRACTIC P.A.
Chiropractor
14001 RIDGEDALE DR, SUITE 390
MINNETONKA, MN 55305
Hennepin County (612) 578-1699
ANNA M BENNETT CST
Specialist/Technologist, Other (Surgical Assistant)
14001 RIDGEDALE DR, SUITE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
MADALYNNE HELEN AHMANN CPNP
Nurse Practitioner (Pediatrics)
14001 RIDGEDALE DR, #100
MINNETONKA, MN 55305
Hennepin County (952) 473-0211
DANIELLE MARIE THELEN FNP-BC, CPNP-AC
Nurse Practitioner (Pediatrics)
14001 RIDGEDALE DR, #100
MINNETONKA, MN 55305
Hennepin County (952) 473-0211
ENT & SLEEP CLINICS MINNESOTA LLC
Otolaryngology (Sleep Medicine)
14001 RIDGEDALE DR, SUITE 330
MINNETONKA, MN 55305
Hennepin County (612) 465-0123

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 Wayzata Children's Clinic P.A.'s NPI number?

The NPI number for Wayzata Children's Clinic P.A. is 1023081577. It was assigned to this organization in the NPPES registry on February 7, 2006.

Where is Wayzata Children's Clinic P.A. located?

Wayzata Children's Clinic P.A. is located at 14001 Ridgedale Dr #100, Minnetonka, MN 55305. The listed phone number is (952) 473-0211.

What is Wayzata Children's Clinic P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Wayzata Children's Clinic P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0400933) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wayzata Children's Clinic P.A. accept?

Health plans from HealthPartners and Medica list Wayzata Children's Clinic P.A. 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 Wayzata Children's Clinic P.A. was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.