Individual provider Active NPI

Ann M Rechtzigel, RN, MA, CNP

  • Adult Health Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1023012051
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R0983525 Issued in MN
Practice address
3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5202
Phone
(612) 879-1000
Fax
(612) 879-9116
NPI assigned
Jun 8, 2005
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R0983525 MN Primary

Addresses

Primary practice location

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5202

Mailing address

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5202
Phone (612) 879-1000

Other identifiers 1

IdentifierTypeStateIssuer
147277100MedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000021 MN Practitioner - Nurse Practitioner 1951448919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noran Neurological Clinic, P.a.Group PAC ID 3971497389, 54 clinicians

Practice addresses (Care Compare)

2828 Chicago Ave
Suite 200
Minneapolis, MN 55407-4187
Phone (612) 879-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0983525MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Noran Neurological Clinic P.a. CurrentSince Jan 11, 2011 Accepting new patients
Quest Diagnostics LLC Il PastSince Jan 11, 2011 Accepting new patients

Locations

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

Interoperability endpoints

  • Direct secure messaging: annrechtzigel@direct.noranclinic.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1023012051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355202",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355202",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHTZIGEL",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "RN, MA, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R0983525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147277100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.