NORTH STAR PODIATRIC LAB, INC.
NPI 1962409995
Prosthetic/Orthotic Supplier in Hugo, MN

Active since July 05, 2005
13419 FENWAY BLVD N, SUITE 101, HUGO, MN 55038(651) 426-9388(651) 426-7450 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2020, Oct 25, 2017 (2 updates tracked since 2017).

About North Star Podiatric Lab, Inc. NPPES

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

NORTH STAR PODIATRIC LAB, INC. (NPI 1962409995) is a healthcare organization registered as a prosthetic/orthotic supplier in Hugo, Minnesota and active in the NPI registry since July 2005. The organization lists Terri Wagner, Certified Pedorthist, as its authorized official.

NPPES Registry Identity

NPI1962409995
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameNORTH STAR PODIATRIC LAB, INC.
Location Address13419 FENWAY BLVD N, SUITE 101Hugo, MN 55038-7465
Mailing Address13419 Fenway Blvd N, Suite 101Hugo, MN 55038-7465 · (651) 426-9388 · Fax (651) 426-7450
Fax(651) 426-7450
Organization SubpartNo
Authorized OfficialTerri WagnerCertified Pedorthist · (651) 426-9388
Enumeration DateJuly 5, 2005
Last NPPES UpdateMay 11, 20202 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
NPI 1962409995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
13419 FENWAY BLVD N, Hugo, MN 55038

Other Identifiers 5

Other8214553FM · Medica Provider Number
Other26569NOMN · Blue Cross Provider Numbe
Other418173203MN · Metro Health Plan Prov Nu
Medicaid908817200FM
Other66MN · Health Partners Provider

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories North Star Podiatric Laboratories I carries, from the Medicare DMEPOS supplier directory.

North Star Podiatric Laboratories I

DMEPOS supplier · Hugo, MNOperated by North Star Podiatric Lab, Inc.

Does not accept Medicare assignment

North Star Podiatric Laboratories I has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20644103
Medicare Participant SinceJanuary 1, 1998
Supplier Location13419 Fenway Blvd N Ste 101Hugo, MN 55038
Provider TypePedorthic Personnel · Medical Supply Company With Pedorthic Personnel
Supplier Specialties
MSC With Orthotic Personnel Orthotic Personnel

Medicare Product Categories

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
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
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 North Star Podiatric Lab, Inc.'s NPI number?

The NPI number for North Star Podiatric Lab, Inc. is 1962409995. It was assigned to this organization in the NPPES registry on July 5, 2005.

Where is North Star Podiatric Lab, Inc. located?

North Star Podiatric Lab, Inc. is located at 13419 Fenway Blvd N Suite 101, Hugo, MN 55038. The listed phone number is (651) 426-9388.

What is North Star Podiatric Lab, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does North Star Podiatric Lab, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, North Star Podiatric Laboratories I does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does North Star Podiatric Lab, Inc. accept?

Health plans from HealthPartners list North Star Podiatric Lab, Inc. 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 North Star Podiatric Lab, Inc. was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.