EMILY ELIZABETH BADE – Social Worker, NPI 1265809479

EMILY ELIZABETH BADE is a healthcare provider. based in Shoreview, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 21853 (MN). The NPI Number for EMILY ELIZABETH BADE is 1265809479

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
EMILY ELIZABETH BADE
NPI
1265809479
Phone
(651) 486-3808
Address
3490 LEXINGTON AVE. N
Enumeration Date
24 August 2015
Last Update Date
24 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6513303434
Graduation Year
2012 (14 years ago)
PAC ID
6204102221
Group Practice PAC ID
2860842788
Professional Enrollment ID
I20171019000077
Address ID
MN551045051SA475XXNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for EMILY ELIZABETH BADE

  • 3490 LEXINGTON AVE. N

    SUITE 205

    SHOREVIEW, MN 55126

    Phone: (651) 486-3808

    Fax: (651) 486-3858

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171019000077IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860842788View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Marriage And Family TherapistLA
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What is EMILY ELIZABETH BADE's NPI number?
EMILY ELIZABETH BADE's NPI is 1265809479 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to EMILY ELIZABETH BADE?
You should see EMILY ELIZABETH BADE as active in CMS-hosted NPPES data.
What clinical focus is listed for EMILY ELIZABETH BADE?
At a glance, EMILY ELIZABETH BADE is tied to Social Worker. Clinical services aligned with this taxonomy classification.
Where in Minnesota is EMILY ELIZABETH BADE registered?
Use Shoreview, Minnesota as the headline location for EMILY ELIZABETH BADE here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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