ALLINA HEALTH SYSTEM
NPI 1871899674
General Practice in Champlin, MN
About Allina Health System NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLINA HEALTH SYSTEM (NPI 1871899674), doing business as Allina Health Champlin Clinic, is a healthcare organization registered as a general practice in Champlin, Minnesota and active in the NPI registry since January 2011. The organization lists Dominica Tallarico, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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.
Clinicians Billing Medicare Through This Organization
4,538Medicare 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
Nearest to this location (20)
See all 4,538Source: 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 1871899674. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health Champlin Clinic.
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 General Practice with taxonomy code 208D00000X.
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 - General Practice) 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, 29 practice at this address and 526 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 26, 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.
# Allina Health System · NPI 1871899674
General Practice organization in Champlin, Minnesota. Organization record, active in the CMS NPPES registry since January 27, 2011.
## Identity
- **NPI:** 1871899674 (Entity type: Organization)
- **Enumerated:** January 27, 2011
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Allina Health Champlin Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dominica Tallarico, COO
## Practice location
- **Address:** 11269 JEFFERSON HWY N, Champlin, MN 55316-3123
- **Phone:** (763) 236-0600 · **Fax:** (763) 427-9626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, Minnesota, Physician - General Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4,538 clinicians in 68 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (785), Family Practice (536), Internal Medicine (467); 29 practice at this address and 526 within 10 miles; [full list](https://npiprofile.com/npi/1871899674/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871899674) · Data from the CMS NPPES public registry.