ETA BARCLAY MD
NPI 1184036394
Pediatrics in Coon Rapids, MN

Q: 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.

Q: What is Eta Barclay's specialty?

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

Q: 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.

Active since May 21, 2014PECOS Enrolled

4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 236-6000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 31, 2017 (3 updates tracked since 2017).

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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 and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1184036394

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameETA BARCLAYCredential: MD

Location Address4050 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2522

Mailing Address2450 Riverside Ave, 6th FloorMinneapolis, MN 55454-1450 · (612) 626-2953

Phone(763) 236-6000

Sole ProprietorNo

Enumeration DateMay 21, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1184036394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 62467

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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Secondary Practice Location 1

Location 12450 Riverside Ave, 6th FloorMinneapolis, MN 55454-1450 · Phone (612) 626-2953

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eta Barclay Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. HEATHER LYNNE BLUE PHARMD

Pharmacist