ALLINA HEALTH SYSTEM
NPI 1730485186
Clinic/Center in Maple Grove, MN

Active since February 02, 2011
7840 VINEWOOD LN N, MAPLE GROVE, MN 55369(763) 236-0200(763) 420-5531 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2025, Sep 3, 2020, Nov 22, 2019 and 1 more (4 updates tracked since 2016).

About Allina Health System NPPES

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

ALLINA HEALTH SYSTEM (NPI 1730485186), doing business as Allina Health Maple Grove Clinic, is a healthcare organization registered as a clinic/center in Maple Grove, Minnesota and active in the NPI registry since February 2011. The organization lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1730485186
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address7840 VINEWOOD LN NMaple Grove, MN 55369-7185
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Fax(763) 420-5531
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateFebruary 2, 2011
Last NPPES UpdateFebruary 25, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1730485186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7840 VINEWOOD LN N, Maple Grove, MN 55369

Other Names 1

Doing Business AsAllina Health Maple Grove Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allina Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20120314000171DME · Physician - OptometristDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4,538

Medicare enrollment records show 4,538 clinicians reassign Medicare billing to Allina Health System, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 640 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 68

Nurse Practitioner785
Family Practice536
Internal Medicine467
Diagnostic Radiology333
Certified Registered Nurse Anesthetist (CRNA)308
Clinical Social Worker184
Obstetrics/Gynecology172
Clinical Psychologist154
60 other specialties1,599

Nearest to this location (20)

See all 4,538
Optometry
NPI 1306916622
7840 VINEWOOD LN N
Maple Grove, MN 55369
(612) 262-5000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801649033
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1740570282
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1326885641
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1871738997
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548665896
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1831451038
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOSSame address
Family Practice
NPI 1467413096
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1780667717
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOSSame address
Clinical Social Worker
NPI 1457622326
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326772237
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1902241268
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1902398779
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912664376
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOSSame address
Family Practice
NPI 1699736710
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639063373
7840 VINEWOOD LN N
Maple Grove, MN 55369
(763) 236-0200
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1154335990
12000 ELM CREEK BLVD N STE 360
Maple Grove, MN 55369
(763) 420-1010
✔ PECOS✔ Accepts Medicare0.4 mi
Clinical Psychologist
NPI 1972955268
13603 80TH CIR N
Maple Grove, MN 55369
(763) 274-3120
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1093780934
12000 ELM CREEK BLVD N
Maple Grove, MN 55369
(763) 420-5822
✔ PECOS✔ Accepts Medicare0.7 mi
Orthopedic Surgery
NPI 1477813731
6050 SYCAMORE LN N
Plymouth, MN 55442
(651) 968-5201
✔ PECOS✔ Accepts Medicare2.3 mi
See all 4,538 clinicians

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

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Allina Health Maple Grove Clinic carries, from the Medicare DMEPOS supplier directory.

Allina Health Maple Grove Clinic

DMEPOS supplier · Maple Grove, MNOperated by Allina Health System
✔

Accepts Medicare assignment

Allina Health Maple Grove Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20678651
Medicare Participant SinceOctober 1, 1984
Supplier Location7840 Vinewood Ln NMaple Grove, MN 55369
Provider TypeMulti-Specialty - Physician
Supplier Specialties
Optometrist

Medicare Product Categories

Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Allina Health System's NPI number?

The NPI number for Allina Health System is 1730485186. It was assigned to this organization in the NPPES registry on February 2, 2011. The provider is doing business as Allina Health Maple Grove Clinic.

Where is Allina Health System located?

Allina Health System is located at 7840 Vinewood Ln N, Maple Grove, MN 55369. The listed phone number is (763) 236-0200.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Allina Health System enrolled in Medicare?

Yes. Allina Health System is registered in the Medicare PECOS enrollment system.

When is Allina Health System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Physician - Optometrist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Allina Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,538 clinicians in 68 Medicare specialties reassign their Medicare billing to Allina Health System. 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. The largest specialties are Nurse Practitioner (785), Family Practice (536) and Internal Medicine (467). Of these, 16 practice at this address and 640 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Allina Health System accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Allina Health Maple Grove Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Allina Health System accept?

Health plans from HealthPartners list Allina Health System 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 Allina Health System was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.