Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucia Roderique

Individual provider Midwife · NPI 1245953595

Lucia Roderique is a Certified Nurse Midwife (CNM) in St Louis Park, Minnesota. Graduated from Emory University School of Medicine in 2022, 4 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Trained at
Emory University School of Medicine
Licensed in
MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-3282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Park Ave Apt 1, Minneapolis, MN 55407-5359 — (678) 596-8656

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 539 (MN)
Midwife Taxonomy 176B00000X · Licence 539 (MN)

Record details

NPI number1245953595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2022
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in St Louis Park