Northern Lights Health LLC
NPI 1316581440 · Primary Care Nurse Practitioner · Waconia, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Lights Health LLC is a Primary Care Nurse Practitioner organization in Waconia, MN (NPI 1316581440).
Provider details
- NPI number
- 1316581440
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicole Siddons, Co-Founder(920) 217-9035
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Acute Care Nurse Practitioner363LA2100X
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-31
- Last updated
- 2019-12-22
- Certified
- 2019-12-22
Frequently asked questions
- What is Northern Lights Health LLC's NPI number?
- Northern Lights Health LLC's National Provider Identifier (NPI) is 1316581440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Lights Health LLC?
- Northern Lights Health LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Northern Lights Health LLC located?
- Northern Lights Health LLC's practice location on file with NPPES is 212 W Lake St, Waconia, MN 55387-1014.
- What is Northern Lights Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Lights Health LLC is (920) 217-9035.
- Does Northern Lights Health LLC accept Medicare?
- Northern Lights Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Lights Health LLC?
- The authorized official listed on Northern Lights Health LLC's NPPES record is Nicole Siddons, Co-Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Lights Health LLC's NPI active?
- Yes — Northern Lights Health LLC's NPI (1316581440) is active in the NPPES registry as of the last update on 2019-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.