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CENTRAL PEDIATRICS, P.A.
NPI 1396721387
Clinic/Center - Primary Care in Woodbury, MN

Active since December 21, 2005CLIA 24D0399893 · Accreditation
9680 TAMARACK RD STE 100, WOODBURY, MN 55125(651) 738-0470(651) 731-5031 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jan 29, 2020, Jan 9, 2020 and 2 more (5 updates tracked since 2018).

About Central Pediatrics, P.a. NPPES

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

CENTRAL PEDIATRICS, P.A. (NPI 1396721387) is a healthcare organization registered as a primary care in Woodbury, Minnesota and active in the NPI registry since December 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Kim Altendorf, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396721387
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCENTRAL PEDIATRICS, P.A.
Location Address9680 TAMARACK RD STE 100Woodbury, MN 55125-2623
Mailing Address9680 Tamarack Rd Ste 100Woodbury, MN 55125-2623 · (651) 738-0470 · Fax (651) 731-5031
Phone(651) 738-0470
Fax(651) 731-5031
Organization SubpartNo
Authorized OfficialKim AltendorfAdministrator · (651) 731-5026
Enumeration DateDecember 21, 2005
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2020
✔ NPI 1396721387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
9680 TAMARACK RD STE 100, Woodbury, MN 55125
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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 Accreditation 24D0399893

Central Pediatrics PA · Woodbury, MN
Active · expires Dec 22, 2027
CLIA Number24D0399893
Laboratory TypePractitioner Other
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Lawrence E. Morrissey
Laboratory Phone(651) 738-0470
Laboratory LocationCentral Pediatrics PA9680 Tamarack Road Suite 100, Woodbury, MN 55125
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 9

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

DR. HANNAH CARLSON-DONOHOE ESDAL M.D.
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-9001
PRIORITY PEDIATRICS,P.A.
Clinic/Center (Urgent Care)
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
MARGARET KELLY TIERNEY MD
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
DR. MATTHEW PHILIP JONES MD
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
DR. LINDSAY LEE BRAGG M.D.
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-0470
DR. NICOLE JOANN WILSON M.D.
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-9001
RACHEL WEIGERT
Pediatrics (Pediatric Emergency Medicine)
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 731-5023
DIANA THYSSEN MD
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Washington County (651) 738-9001

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 Central Pediatrics, P.A.'s NPI number?

The NPI number for Central Pediatrics, P.A. is 1396721387. It was assigned to this organization in the NPPES registry on December 21, 2005.

Where is Central Pediatrics, P.A. located?

Central Pediatrics, P.A. is located at 9680 Tamarack Rd Ste 100, Woodbury, MN 55125. The listed phone number is (651) 738-0470.

What is Central Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Central Pediatrics, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0399893) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Pediatrics, P.A. accept?

Health plans from HealthPartners and Medica list Central Pediatrics, 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 Central Pediatrics, P.A. 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.