Northern Lights Pediatric & Adolescent Medicine
NPI 1912069519 · Pediatric Adolescent Medicine Physician · Vadnais Heights, MN
Northern Lights Pediatric & Adolescent Medicine is a Pediatric Adolescent Medicine Physician organization in Vadnais Heights, MN (NPI 1912069519).
Provider details
- NPI number
- 1912069519
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Mccabe, Partner(651) 251-5280
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-12-14
- Last updated
- 2009-05-20
Frequently asked questions
- What is Northern Lights Pediatric & Adolescent Medicine's NPI number?
- Northern Lights Pediatric & Adolescent Medicine's National Provider Identifier (NPI) is 1912069519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Lights Pediatric & Adolescent Medicine?
- Northern Lights Pediatric & Adolescent Medicine is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northern Lights Pediatric & Adolescent Medicine located?
- Northern Lights Pediatric & Adolescent Medicine's practice location on file with NPPES is 3555 Willow Lake Blvd., Vadnais Heights, MN 55110-4462.
- What is Northern Lights Pediatric & Adolescent Medicine's phone number?
- The practice phone number listed in the NPPES registry for Northern Lights Pediatric & Adolescent Medicine is (651) 251-5280.
- Who is the authorized official for Northern Lights Pediatric & Adolescent Medicine?
- The authorized official listed on Northern Lights Pediatric & Adolescent Medicine's NPPES record is Wendy Mccabe, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Lights Pediatric & Adolescent Medicine's NPI active?
- Yes — Northern Lights Pediatric & Adolescent Medicine's NPI (1912069519) is active in the NPPES registry as of the last update on 2009-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.