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

EMILY BO LAFOUNTAINE WADDELL
NPI 1417595794
Physician Assistant in Saint Paul, MN

Active since December 17, 2019PECOS Enrolled
333 SMITH AVE N, SAINT PAUL, MN 55102(651) 241-8755 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, Jul 9, 2025, Feb 7, 2022 and 2 more (5 updates tracked since 2019).

About Emily Bo Lafountaine Waddell NPPES

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

EMILY BO LAFOUNTAINE WADDELL (NPI 1417595794) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (13612) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417595794
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY BO LAFOUNTAINE WADDELL
Location Address333 SMITH AVE NSaint Paul, MN 55102-2344
Mailing Address2829 University Ave Se Ste 730Minneapolis, MN 55414-3279 · (612) 439-1860
Phone(651) 241-8755
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 17, 2019
Last NPPES UpdateAugust 26, 20265 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1417595794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MN · 13612✔ Licensed in CA · PA68432
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
333 SMITH AVE N, Saint Paul, MN 55102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Bo Lafountaine Waddell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365857570
PECOS Enrollment IDI20210222002126
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
81 services78 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services70 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
45 services44 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

ROBERT A LAMPPA CRNA
Nurse Anesthetist, Certified Registered
333 SMITH AVE N
ST PAUL, MN 55102
Ramsey County (651) 735-0501
DALE H MCHUGH CRNA
Nurse Anesthetist, Certified Registered
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 735-0501
MS. ELIZABETH KOPF MA CCC-SLP
Speech-Language Pathologist
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8074
DR. KATHERINE GLASRUD MD
Emergency Medicine
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (612) 863-6590
DR. BRIAN THOMAS GOOLEY MD
Emergency Medicine
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8755
DR. HEATHER ROBBINS DPT
Physical Therapist (Geriatrics)
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8290
SAMANTHA SWANHORST
Physician Assistant
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8000
DR. MARK T DESTACHE MD
Anesthesiology
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 735-0501

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 Emily Waddell's NPI number?

The NPI number for Emily Waddell is 1417595794. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Emily Waddell located?

Emily Waddell practices at 333 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (651) 241-8755.

What is Emily Waddell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Waddell enrolled in Medicare?

Yes. Emily Waddell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emily Waddell accept?

Health plans from Aspirus Health Plan, Medica and Sanford Health Plan list Emily Waddell 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.

Is Emily Waddell affiliated with any hospitals?

According to CMS data, Emily Waddell is affiliated with Allina United Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Emily Waddell was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.