ETA BARCLAY MD
NPI 1184036394
Pediatrics in Coon Rapids, MN
About Eta Barclay Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETA BARCLAY MD (NPI 1184036394) is an individual pediatrics provider in Coon Rapids, Minnesota, licensed in Minnesota (62467) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of University Of Minnesota Medical School (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eta Barclay Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eta Barclay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 551 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Eta Barclay's NPI number?
The NPI number for Eta Barclay is 1184036394. It was assigned to this individual provider in the NPPES registry on May 21, 2014.
Where is Eta Barclay located?
Eta Barclay practices at 4050 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 236-6000.
What is Eta Barclay's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Eta Barclay enrolled in Medicare?
Yes. Eta Barclay is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eta Barclay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eta Barclay reassigns Medicare benefits to Children's Health Care (Minneapolis, MN). The 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 Eta Barclay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eta Barclay was last updated on July 21, 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.
# Eta Barclay, MD · NPI 1184036394
Pediatrics physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since May 21, 2014.
## Identity
- **NPI:** 1184036394 (Entity type: Individual)
- **Enumerated:** May 21, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 62467 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433-2522
- **Phone:** (763) 236-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Health Care (NPI 1841738952, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184036394) · Data from the CMS NPPES public registry.