Active NPI
Angela Lynn Hauth
- Family Nurse Practitioner
- Waconia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 365
- Practice address
- 560 S Maple St Ste 200
Waconia, MN 55387-1757 - Phone
- (952) 442-2163
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 365 | MN | Primary |
Addresses
Primary practice location
560 S Maple St Ste 200
Waconia, MN 55387-1757
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 847-4029
Other names 1
- Angela Johnson
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hundertmark Rd
Suite 240
Chaska, MN 55318-1198
Phone (952) 456-7400
3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300
4010 W 65TH St
Edina, MN 55435-1706
Phone (952) 456-7000
5601 96TH Ave N
Brooklyn Park, MN 55443-4505
Phone (763) 786-9543
820 Village Way
Waconia, MN 55387-4612
Hospital & facility affiliations
- Ridgeview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| St. Francis Regional Medical Center | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| St. Croix Orthopaedics, PA | Past | Accepting new patients |
Locations
1000 W 140th St
Unit 201
Burnsville, MN 55337
Phone (952) 808-3000
111 Hundertmark Rd
Ste 240
Chaska, MN 55318
Phone (952) 456-7400
265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200
7866 12th Ave S
Minneapolis, MN 55425
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
6150 Egan Dr
Savage, MN 55378
Phone (952) 228-2552
820 Village Way
#200
Waconia, MN 55387
560 S Maple St
Ste 200
Waconia, MN 55387
Phone (952) 856-4033
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
-
- Urgent Care Clinic/Center
- Shakopee, MN
- NPI 1447605514
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Specialist
- Oak Park Heights, MN
- NPI 1255337945
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waconia, MN
- NPI 1275608457
-
- General Acute Care Hospital
- Chaska, MN
- NPI 1710748538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1013311463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR STE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224841",
"telephone_number": "952-847-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 S MAPLE ST STE 200",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871757",
"telephone_number": "952-442-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUTH",
"first_name": "ANGELA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "JOHNSON",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.