Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Emily Bo Lafountaine Waddell, PA

Individual provider Physician Assistant · NPI 1417595794

Emily Bo Lafountaine Waddell, PA is a Physician Assistant in Redwood City, California. Qualified in 2020, 6 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
6
Licensed in
CA, MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

830 Jefferson Ave
Redwood City, CA 94063-1804
Phone: (650) 381-0616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Smith Ave N, Saint Paul, MN 55102-2344 — (651) 241-8755

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA68432 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 13612 (MN)

Record details

NPI number1417595794
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 17, 2019
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients187
Services billed 233 a service is one billed item, such as a visit, a test or a procedure
Average patient age66

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Allina Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3867 clinicians in the practice; 12 are shown here.

Other providers in Redwood City