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Northern Lights Pediatric & Adolescent Medicine

Pediatric Adolescent Medicine Physician in Vadnais Heights, MN · enumerated 2006 · authorized official Wendy Mccabe, Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912069519

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Registry record

Entity type Organization (Type 2)
Legal business name Northern Lights Pediatric & Adolescent Medicine
Practice address 3555 Willow Lake Blvd., Suite 140, Vadnais Heights, MN, 55110
Fax (651) 251-5282
Enumeration date Dec 14, 2006
Last updated in NPPES May 20, 2009

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Wendy Mccabe
Title Partner

Other identifiers

Identifier Type State Issuer
29960NO Other MN BCBS MN
744432000 Medicaid MN -
165339 Other MN UCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Northern Lights Pediatric & Adolescent Medicine?
NPPES lists Wendy Mccabe (Partner) as the authorized official for this organization.
What is the NPI number for Northern Lights Pediatric & Adolescent Medicine?
The NPI for Northern Lights Pediatric & Adolescent Medicine is 1912069519, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-20.