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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 PA
NPI 1417595794
Physician Assistant in Redwood City, CA

Active since December 17, 2019PECOS EnrolledAccepts Medicare Assignment
830 JEFFERSON AVE, REDWOOD CITY, CA 94063(650) 381-0616 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2026, Aug 26, 2026, Jul 9, 2025 and 3 more (6 updates tracked since 2019).

About Emily Bo Lafountaine Waddell Pa NPPES

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

EMILY BO LAFOUNTAINE WADDELL PA (NPI 1417595794) is an individual physician assistant in Redwood City, California, licensed in California (PA68432) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1417595794
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY BO LAFOUNTAINE WADDELLCredential: PA
Location Address830 JEFFERSON AVERedwood City, CA 94063-1804
Mailing Address2829 University Ave Se Ste 730Minneapolis, MN 55414-3279 · (612) 439-1860
Phone(650) 381-0616
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 17, 2019
Last NPPES UpdateSeptember 4, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 4, 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 CA · PA68432✔ Licensed in MN · 13612
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.
830 JEFFERSON AVE, Redwood City, CA 94063
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Other Names 1

Other Name (5)Emily Lafountaine

Secondary Practice Location 1

Location 1333 Smith Ave NSaint Paul, MN 55102-2344 · Phone (651) 241-8755

Accepted Insurance

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94063 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 4

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

PROF. RAPHAEL VASSOR P.A.
Physician Assistant
830 JEFFERSON AVE
REDWOOD CITY, CA 94063
San Mateo County (650) 381-0616
JAMES WILLIS SIMMONS II NP
Nurse Practitioner (Family)
830 JEFFERSON AVE
REDWOOD CITY, CA 94063
San Mateo County (650) 380-0616
RACHEL E ABERGEL PA
Physician Assistant
830 JEFFERSON AVE
REDWOOD CITY, CA 94063
San Mateo County (650) 381-0616
GUSTAVO A. DIAZ MD
Emergency Medicine
830 JEFFERSON AVE
REDWOOD CITY, CA 94063
San Mateo County (650) 381-0616

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. The provider is also known as Emily Lafountaine.

Where is Emily Waddell located?

Emily Waddell practices at 830 Jefferson Ave, Redwood City, CA 94063. The listed phone number is (650) 381-0616.

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 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.

When was this NPI record last updated?

The NPPES record for Emily Waddell was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.