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KATHERINE WAHL
NPI 1609384973
Nurse Practitioner - Pediatrics in Rogers, MN

Active since January 19, 2018
13980 NORTHDALE BLVD, ROGERS, MN 55374(763) 428-1920(612) 874-2916 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2018, Aug 30, 2018, Jan 19, 2018 (3 updates tracked since 2018).

About Katherine Wahl NPPES

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

KATHERINE WAHL (NPI 1609384973) is an individual pediatrics provider in Rogers, Minnesota, licensed in Minnesota (6045) and active in the NPI registry since January 2018. She maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1609384973
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHERINE WAHL
Location Address13980 NORTHDALE BLVDRogers, MN 55374
Mailing Address13980 Northdale BlvdRogers, MN 55374-2147
Phone(763) 428-1920
Fax(612) 874-2916
Sole ProprietorYes
Enumeration DateJanuary 19, 2018
Last NPPES UpdateNovember 16, 20183 updates tracked since enumeration
✔ NPI 1609384973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · 6045
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 2230470 (MN)
13980 NORTHDALE BLVD, Rogers, MN 55374
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Secondary Practice Location 1

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Other Providers at the Same Location NPPES 7

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

MR. WILLIAM N. KUNAU PNP
Nurse Practitioner (Pediatrics)
13980 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-1920
NOELLE ELLIS MD
Pediatrics
13980 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-1920
DR. NAOMI C. PALMER M.D.
Pediatrics
13980 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-1920
DR. WADE M. LARSON M.D.
Pediatrics
13980 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-1920
DR. ANDREW W. LARSON M.D.
Pediatrics
13980 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-1920
DR. MARY E. MAHONY D.O.
Pediatrics
13980 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-1920
HANNAH KUNKEL LICSW
Social Worker (Clinical)
13980 NORTHDALE BLVD
ROGERS, MN 55374
Hennepin County (763) 428-1920

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 Katherine Wahl's NPI number?

The NPI number for Katherine Wahl is 1609384973. It was assigned to this individual provider in the NPPES registry on January 19, 2018.

Where is Katherine Wahl located?

Katherine Wahl practices at 13980 Northdale Blvd, Rogers, MN 55374. The listed phone number is (763) 428-1920.

What is Katherine Wahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Katherine Wahl accept?

Health plans from HealthPartners and Medica list Katherine Wahl 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 Katherine Wahl was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.