Active NPI
Chara J Anderson, CNP
- Adult Health Nurse Practitioner
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R126603-4
- Practice address
- 675 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6749 - Phone
- (952) 892-7190
- Fax
- (952) 892-7956
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
Adult Health, MN
-
- Clinic Pharmacy
- Maplewood, MN
- NPI 1144281304
-
- Community/Retail Pharmacy
- Maple Grove, MN
- NPI 1811601123
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1205606316
Adult Health
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minnesota Oncology Hematology PA
Practice addresses (Care Compare)
910 E 26TH St
Suite 100 200
Minneapolis, MN 55404-4526
Phone (612) 884-6300
Hospital & facility affiliations
- M Health Fairview Ridges Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.19 of 100
- Quality
- 72.34
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100520000239 | MN | Practitioner - Nurse Practitioner | 2961531595 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R126603-4 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Oncology Hematology, PA | Adult Health | Current | Accepting new patients |
| Minnesota Oncology Hematology, PA | Current | Accepting new patients | |
| Minnesota Oncology Hematology PA | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients | |
| Minnesota Oncology Hematology PA | Adult Health | Past | Accepting new patients |
Locations
1175 Paysphere Cir
Chicago, IL 60674
675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516
110105 Pioneer Trl W
Ste 302
Chaska, MN 55318
Phone (952) 361-5800
10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316
910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300
480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620
11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100
6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900
2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440
2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309
1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480
345 Sherman St
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5525
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335
560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006
6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414
Interoperability endpoints
- chara.anderson@moh.ikm.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R126603-4 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
675 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6749
Mailing address
2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001
Phone (651) 602-5309
Other identifiers 9
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127465 | Other | MN | UCARE |
| 0413227 | Other | MN | MEDICA |
| 925677 | Other | MN | AMERICA'S PPO |
| 585814300 | Medicaid | MN | |
| HP29538 | Other | MN | HEALTHPARTNERS |
| 43941700 | Medicaid | WI | |
| 1021486 | Other | MN | PREFERREDONE |
| 406274400 | Medicaid | MD | |
| 47B02AN | Other | MN | BLUE CROSS/BLUE SHIELD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2017.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1003883182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 UNIVERSITY AVE W STE 110N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551142001",
"telephone_number": "651-602-5309",
"fax_number": "651-222-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 E NICOLLET BLVD STE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376749",
"telephone_number": "952-892-7190",
"fax_number": "952-892-7956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHARA",
"middle_name": "J",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "R126603-4",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "127465",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0413227",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "925677",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "585814300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP29538",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43941700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "1021486",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406274400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "47B02AN",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.