LEAP PEDIATRIC AND ADOLESCENT CARE
NPI 1457082919
Clinic/Center - Primary Care in Saint Paul, MN

Active since June 23, 2022
1747 SUMMIT AVE, SAINT PAUL, MN 55105(651) 242-2849 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leap Pediatric And Adolescent Care NPPES

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

LEAP PEDIATRIC AND ADOLESCENT CARE (NPI 1457082919) is a healthcare organization registered as a primary care in Saint Paul, Minnesota and active in the NPI registry since June 2022. The organization lists Julia Joseph-di Caprio, President And Founder, as its authorized official.

NPPES Registry Identity

NPI1457082919
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLEAP PEDIATRIC AND ADOLESCENT CARE
Location Address1747 SUMMIT AVESaint Paul, MN 55105-1833
Mailing Address1747 Summit AveSaint Paul, MN 55105-1833 · (651) 242-2849
Organization SubpartNo
Authorized OfficialJulia Joseph-di CaprioPresident And Founder · (651) 242-2849
Enumeration DateJune 23, 2022
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1457082919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1747 SUMMIT AVE, Saint Paul, MN 55105

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leap Pediatric And Adolescent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Leap Pediatric And Adolescent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Pediatric Medicine
NPI 1164433454
1747 SUMMIT AVE
Saint Paul, MN 55105
(651) 242-2849
✔ PECOSSame address
Pediatric Medicine
NPI 1619077484
2512 S 7TH ST
Minneapolis, MN 55454
(612) 365-6777
✔ PECOS3.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 24D2269620

Leap Pediatric And Adolescent Care · Saint Paul, MN
Expired · Sep 28, 2026
CLIA Number24D2269620
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorJulia P. Joseph-Di Caprio
Laboratory Phone(651) 242-2849
Laboratory LocationLeap Pediatric And Adolescent Care450 Syndicate St N Suite 250, Saint Paul, MN 55104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Leap Pediatric And Adolescent Care's NPI number?

The NPI number for Leap Pediatric And Adolescent Care is 1457082919. It was assigned to this organization in the NPPES registry on June 23, 2022.

Where is Leap Pediatric And Adolescent Care located?

Leap Pediatric And Adolescent Care is located at 1747 Summit Ave, Saint Paul, MN 55105. The listed phone number is (651) 242-2849.

What is Leap Pediatric And Adolescent Care's specialty?

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

Is Leap Pediatric And Adolescent Care enrolled in Medicare?

Yes. Leap Pediatric And Adolescent Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leap Pediatric And Adolescent Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Leap Pediatric And Adolescent Care. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leap Pediatric And Adolescent Care was last updated on June 27, 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.