Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARCIANA GROUP
NPI 1134719693
Clinic/Center - Medical Specialty in Lakeville, MN

Active since January 19, 2021
16759 DIAMONTE PATH, LAKEVILLE, MN 55044(651) 398-4968 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2026, Mar 24, 2026, Dec 13, 2025 and 3 more (6 updates tracked since 2021).

About Marciana Group NPPES

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

MARCIANA GROUP (NPI 1134719693), doing business as Mendota Health, is a healthcare organization registered as a medical specialty in Lakeville, Minnesota and active in the NPI registry since January 2021. The organization maintains 8 additional practice locations and lists Kimberly Miller, Director Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1134719693
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMARCIANA GROUP
Location Address16759 DIAMONTE PATHLakeville, MN 55044-6154
Mailing AddressPo Box 779348Chicago, IL 60677-0440 · (888) 402-0202
Organization SubpartNo
Authorized OfficialKimberly MillerDirector Of Rcm · (248) 331-7908
Enumeration DateJanuary 19, 2021
Last NPPES UpdateSeptember 4, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1134719693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
16759 DIAMONTE PATH, Lakeville, MN 55044

Other Names 1

Doing Business AsMendota Health

Secondary Practice Locations 8

Location 11440 W Taylor St Ste 2617Chicago, IL 60607-4623 · Phone (888) 402-0202
Location 26101 N Keystone Ave Ste 100Indianapolis, IN 46220-2499 · Phone (888) 402-0202
Location 32407 SE Delaware Ave Ste 1044Ankeny, IA 50021-4470 · Phone (888) 402-0202
Location 42407 N Callahan StWichita, KS 67205-1471 · Phone (888) 402-0202
Location 53157 Farnam St Ste 7104Omaha, NE 68131-3553 · Phone (888) 402-0202
Location 66659 Schaefer Rd Ste 1143Dearborn, MI 48126-1812 · Phone (888) 402-0202
Location 71325 N Rankin StAppleton, WI 54911-3861 · Phone (888) 402-0202
Location 8910 Wolcott St Ste 13Waterbury, CT 06705-1360 · Phone (888) 402-0202

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

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)

Marciana Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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
StateIllinoisEnrollment IDO20211022002322Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Marciana Group, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Emergency Medicine3
Hospitalist1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1982739900
4622 40TH AVENUE SOUTH SUITE A
Fargo, ND 58104
(701) 364-2909
✔ PECOS✔ Accepts Medicare231 mi
Nurse Practitioner
NPI 1801145313
2730 CROW CREEK RD
Bettendorf, IA 52722
(954) 399-4673
✔ PECOS✔ Accepts Medicare255 mi
Emergency Medicine
NPI 1497853634
1032 E SUMNER ST
Hartford, WI 53027
(262) 948-5640
✔ PECOS✔ Accepts Medicare256 mi
Nurse Practitioner
NPI 1003650482
101 S 42ND ST
Omaha, NE 68131
(914) 433-9695
✔ PECOS277 mi
Hospitalist
NPI 1619235264
1221 N HIGHLAND AVE
Aurora, IL 60506
(630) 699-8306
✔ PECOS316 mi
Emergency Medicine
NPI 1790006393
2361 PAYSPHERE CIRCLE
Chicago, IL 60674
(847) 746-4358
✔ PECOS✔ Accepts Medicare340 mi
Emergency Medicine
NPI 1609078443
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-4400
✔ PECOS✔ Accepts Medicare415 mi
Nurse Practitioner
NPI 1376245175
328 INDEPENDENCE RD
Greenfield, IN 46140
(765) 524-1518
✔ PECOS✔ Accepts Medicare507 mi
Nurse Practitioner
NPI 1285035022
4747 S BROADWAY AVE
Wichita, KS 67216
(316) 529-3084
✔ PECOS✔ Accepts Medicare536 mi
Nurse Practitioner
NPI 1598378986
4747 S BROADWAY AVE
Wichita, KS 67216
(316) 529-3084
✔ PECOS✔ Accepts Medicare536 mi
Nurse Practitioner
NPI 1497369516
5 CONCOURSE PKWY
Sandy Springs, GA 30328
(855) 492-7642
✔ PECOS✔ Accepts Medicare880 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marciana Group's NPI number?

The NPI number for Marciana Group is 1134719693. It was assigned to this organization in the NPPES registry on January 19, 2021. The provider is doing business as Mendota Health.

Where is Marciana Group located?

Marciana Group is located at 16759 Diamonte Path, Lakeville, MN 55044. The listed phone number is (651) 398-4968.

What is Marciana Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Marciana Group enrolled in Medicare?

Yes. Marciana Group is registered in the Medicare PECOS enrollment system.

When is Marciana Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 Marciana Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Marciana Group. 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 (7), Emergency Medicine (3) and Hospitalist (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Marciana Group accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 3 other insurers list Marciana Group 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 Marciana Group was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.