ALLINA HEALTH SYSTEM
NPI 1285930636
Family Medicine in Plymouth, MN

Active since February 02, 2011
2855 CAMPUS DR STE 400, PLYMOUTH, MN 55441(763) 577-7400(763) 577-7440 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2023, Sep 4, 2020, Nov 22, 2019 and 2 more (5 updates tracked since 2018).

About Allina Health System NPPES

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

ALLINA HEALTH SYSTEM (NPI 1285930636), doing business as Allina Health Plymouth Clinic, is a healthcare organization registered as a family medicine in Plymouth, Minnesota and active in the NPI registry since February 2011. The organization lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1285930636
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address2855 CAMPUS DR STE 400Plymouth, MN 55441-2659
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Fax(763) 577-7440
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateFebruary 2, 2011
Last NPPES UpdateJanuary 21, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1285930636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
2855 CAMPUS DR STE 400, Plymouth, MN 55441

Other Names 1

Doing Business AsAllina Health Plymouth Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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
StateMinnesotaEnrollment IDO20120301000013DME · Physician - Unknown Physician SpecialtyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4,538

Medicare enrollment records show 4,538 clinicians reassign Medicare billing to Allina Health System, which bills Medicare for the services they deliver. Of these, 42 practice at this address and 405 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 68

Nurse Practitioner785
Family Practice536
Internal Medicine467
Diagnostic Radiology333
Certified Registered Nurse Anesthetist (CRNA)308
Clinical Social Worker184
Obstetrics/Gynecology172
Clinical Psychologist154
60 other specialties1,599

Nearest to this location (20)

See all 4,538
Mental Health Counselor
NPI 1346907771
2855 CAMPUS DR STE 660
Plymouth, MN 55441
(763) 577-7900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346203981
2855 CAMPUS DR SUITE 400
Plymouth, MN 55441
(612) 577-7400
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1578528493
2855 CAMPUS DR STE 400
Plymouth, MN 55441
(763) 577-7400
✔ Accepts MedicareSame address
Psychiatry
NPI 1831519602
2855 CAMPUS DRIVE ABBOTT NORTHWESTERN - WESTHEALTH, SUITE 660
Plymouth, MN 55441
(763) 577-7900
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1407416001
2855 CAMPUS DR
Plymouth, MN 55441
(763) 577-7160
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1841610557
2855 CAMPUS DR STE 400
Plymouth, MN 55441
(763) 577-7400
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1992092993
2855 CAMPUS DR STE 660
Plymouth, MN 55441
(763) 577-7900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578370847
2855 CAMPUS DR STE 400
Plymouth, MN 55441
(763) 577-7400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1841492188
2855 CAMPUS DR STE 400
Plymouth, MN 55441
(763) 577-7400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1295734374
2855 CAMPUS DR SUITE 400
Plymouth, MN 55441
(763) 577-7400
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1851703110
2855 CAMPUS DR STE 400
Plymouth, MN 55441
(763) 577-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1811424179
2855 CAMPUS DR
Plymouth, MN 55441
(763) 577-7160
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1881655975
2855 CAMPUS DR SUITE 400
Plymouth, MN 55441
(612) 577-7400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104981778
2855 CAMPUS DR
Plymouth, MN 55441
(763) 577-7160
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1053973719
2855 CAMPUS DR STE 660
Plymouth, MN 55441
(763) 577-7900
✔ PECOSSame address
Marriage and Family Therapist
NPI 1417538661
2855 CAMPUS DR STE 660
Plymouth, MN 55441
(763) 577-7900
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1386701274
2855 CAMPUS DR STE 660
Plymouth, MN 55441
(763) 577-7900
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1194970038
2805 CAMPUS DR STE 115
Plymouth, MN 55441
(763) 577-7800
✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1104877059
2805 CAMPUS DR SUITE 305
Plymouth, MN 55441
(763) 577-7615
✔ PECOSSame address
Qualified Audiologist
NPI 1356956684
2805 CAMPUS DR STE 205
Plymouth, MN 55441
(763) 577-7200
✔ Accepts MedicareSame address
See all 4,538 clinicians

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 Allina Health System's NPI number?

The NPI number for Allina Health System is 1285930636. It was assigned to this organization in the NPPES registry on February 2, 2011. The provider is doing business as Allina Health Plymouth Clinic.

Where is Allina Health System located?

Allina Health System is located at 2855 Campus Dr Ste 400, Plymouth, MN 55441. The listed phone number is (763) 577-7400.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Allina Health System enrolled in Medicare?

Yes. Allina Health System is registered in the Medicare PECOS enrollment system.

When is Allina Health System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Physician - Unknown Physician Specialty) is due for revalidation by January 31, 2027. 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 Allina Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,538 clinicians in 68 Medicare specialties reassign their Medicare billing to Allina Health System. 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 (785), Family Practice (536) and Internal Medicine (467). Of these, 42 practice at this address and 405 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allina Health System accept?

Health plans from HealthPartners list Allina Health System 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 Allina Health System was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.