NUCLEUS CLINIC
NPI 1982882742
Public Health or Welfare in Coon Rapids, MN

Q: What is Nucleus Clinic's NPI number?

The NPI number for Nucleus Clinic is 1982882742. It was assigned to this organization in the NPPES registry on February 4, 2008.

Q: What is Nucleus Clinic's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Q: When was this NPI record last updated?

The NPPES record for Nucleus Clinic was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 04, 2008CLIA 24D0402983 · Microscopy

1323 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 755-5300(763) 755-5301 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nucleus Clinic NPPES

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

NUCLEUS CLINIC (NPI 1982882742) is a healthcare organization registered as a public health or welfare in Coon Rapids, Minnesota and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through April 22, 2028 and lists Diane Lynn Hendrickson, Cheif Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1982882742

Entity TypeOrganization

Primary Taxonomy251K00000X

Legal Business NameNUCLEUS CLINIC

Location Address1323 COON RAPIDS BLVD NWCoon Rapids, MN 55433-5362

Mailing Address1323 Coon Rapids Blvd NwCoon Rapids, MN 55433-5362 · (763) 755-5300 · Fax (763) 755-5301

Phone(763) 755-5300

Fax(763) 755-5301

Organization SubpartNo

Authorized OfficialDiane Lynn HendricksonCheif Executive Officer · (763) 755-5300

Enumeration DateFebruary 4, 2008

✔ NPI 1982882742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies

Taxonomy Code251K00000X

1323 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 24D0402983

Nucleus Clinic · Coon Rapids, MN

Active · expires Apr 22, 2028

CLIA Number24D0402983

Laboratory TypeCommunity Clinic

Certificate Effective DateApril 23, 2026

Certificate Expiration DateApril 22, 2028

Laboratory DirectorKelsey C. Lessard

Laboratory Phone(763) 755-5300

Laboratory LocationNucleus Clinic1323 Coon Rapids Blvd NW, Coon Rapids, MN 55433

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 5

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

DIANE JANE WILLGING

Nurse Practitioner (Women's Health)