Allina Health System

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ALLINA HEALTH SYSTEM

Doing business as

Allina Health Mercy Women's Health Clinic

Practice address

3960 Coon Rapids Blvd NW Ste 200
Coon Rapids, MN 55433-2589

Phone

(763) 236-9236

Fax

(763) 236-9250

NPI assigned

Feb 2, 2011

Last updated

Feb 25, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dominica Tallarico

Title

Coo

Phone

(612) 222-2222

Specialties & licenses 1

Addresses

Other names 1

• Allina Health Mercy Women's Health Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javid Akram, MD

  • Internal Medicine Physician
  • Maplewood, MN
  • NPI 1992734396
  NPD
• Kayla Het Nguyen Anderson, M.D.

  • Internal Medicine Physician
  • Buffalo, MN
  • NPI 1962565333
  NPD
• Michael James Annen, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1326275520
  NPD
• Anita Marie Baum, CCC/A

  • Audiologist
  • Saint Paul, MN
  • NPI 1558548511
  NPD
• Anna Joye Brokofsky, MD

  • Family Medicine Physician
  • Bloomington, MN
  • NPI 1346869443
  NPD
• Ellie Michelle Cohen, M.D.

  • Surgery Physician
  • Northfield, MN
  • NPI 1134562481
  NPD
• Amy Cooley, FNP

  • Nurse Practitioner
  • Minneapolis, MN
  • NPI 1619376860
  NPD
• Vanessa Eames, MA, LP

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1699006973
  NPD
• Michelle Lee Evans, APRN

  • Family Nurse Practitioner
  • Jackson, MN
  • NPI 1831603166
  NPD
• Rupert E Exconde, M.D.

  • Neurology Physician
  • Minneapolis, MN
  • NPI 1780613075
  NPD
• Elizabeth Gilbertson, MD

  • Family Medicine Physician
  • West Saint Paul, MN
  • NPI 1891053112
  NPD
• Mark Christopher Goetz, PHD

  • Psychologist
  • Champlin, MN
  • NPI 1780978023
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1811293269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "MAIL ROUTE 10585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW STE 200",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332589",
            "telephone_number": "763-236-9236",
            "fax_number": "763-236-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "TALLARICO",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-222-2222"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allina Health Mercy Women's Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allina Health Mercy Women's Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allina Health System (Allina Health Sleep Center - Coon Rapids)
• Allina Health System (Allina Health Infusion Center Coon Rapids)
• Allina Health System (Courage Kenny Rehabilitation Associates)
• Allina Health System (Telepsychiatry Services)
• Allina Health System (Allina Health Mercy Professional Services)
• Allina Health System (Allina Health Cancer Institute - Coon Rapids)
• Allina Health System (Allina Health TeleRheumatology)
• Allina Health System (Allina Health Coon Rapids Pharmacy)
• Cara Janice Almquist
• Rikki Alstad, LMFT

• Clinic/Center in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.