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ALLINA HEALTH SYSTEM
NPI 1801402722
Clinic/Center - Urgent Care in Champlin, MN

Active since September 16, 2020
11269 JEFFERSON HWY N, CHAMPLIN, MN 55316(763) 236-0600 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 16, 2020 (2 updates tracked since 2020).

About Allina Health System NPPES

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

ALLINA HEALTH SYSTEM (NPI 1801402722), doing business as Allina Health Urgent Care Champlin, is a healthcare organization registered as an urgent care in Champlin, Minnesota and active in the NPI registry since September 2020. The organization lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1801402722
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameALLINA HEALTH SYSTEM
Location Address11269 JEFFERSON HWY NChamplin, MN 55316-3123
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Phone(763) 236-0600
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateSeptember 16, 2020
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1801402722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
11269 JEFFERSON HWY N, Champlin, MN 55316
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Other Names 1

Doing Business AsAllina Health Urgent Care Champlin

Medicare Participation & PECOS CMS

Medicare enrollment 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).

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, 29 practice at this address and 526 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
Kaye Abel, MD
Pediatric Medicine
NPI 1508849530
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOSSame address
Prince Aloh
Nurse Practitioner
NPI 1194439935
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Eftu Boru, MD
Family Practice
NPI 1174055131
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Coyne
Nurse Practitioner
NPI 1750046256
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Lea Ekochin, M.D
Internal Medicine
NPI 1740424928
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Erin Erickson, APRN, CNP
Nurse Practitioner
NPI 1386180875
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Mark Goetz, PHD
Clinical Psychologist
NPI 1780978023
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOSSame address
Amy Hentges, M.D.
Pediatric Medicine
NPI 1245293323
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOSSame address
Byron Holth, MD
Family Practice
NPI 1184680464
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOSSame address
Allison Hotujec, MD
Family Practice
NPI 1497989214
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Lindsey Job, MSW, LICSW
Clinical Social Worker
NPI 1245949320
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Anne Kern, MD
Obstetrics/Gynecology
NPI 1063474054
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Jennifer Meister, OD
Optometry
NPI 1447212477
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Katelyn Moritz, CNP
Nurse Practitioner
NPI 1780075630
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Emily Nelson, CNP
Nurse Practitioner
NPI 1881147601
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Sapna Patel, MD
Family Practice
NPI 1669826640
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Mikhail Nerone Reyes, MD
Family Practice
NPI 1619531407
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Carla Schultz, M.D.
Internal Medicine
NPI 1003100595
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
Lisa Wilke, PSYD
Clinical Psychologist
NPI 1760927784
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOSSame address
Anthony Zabel, O.D.
Optometry
NPI 1437349883
11269 JEFFERSON HWY N
Champlin, MN 55316
(763) 236-0600
✔ PECOS✔ Accepts MedicareSame address
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.

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 1801402722. It was assigned to this organization in the NPPES registry on September 16, 2020. The provider is doing business as Allina Health Urgent Care Champlin.

Where is Allina Health System located?

Allina Health System is located at 11269 Jefferson Hwy N, Champlin, MN 55316. The listed phone number is (763) 236-0600.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Allina Health System enrolled in Medicare?

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

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, 29 practice at this address and 526 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 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.