Active NPI
Angela Jean Splettstoeszer, APRN
- Nurse Practitioner
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7593
- Practice address
- 1233 34TH St NW
Bemidji, MN 56601-5112 - Phone
- (218) 333-5285
- NPI assigned
- Sep 18, 2020
- Last updated
- Aug 18, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7593 | MN | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 7593 | MN |
Addresses
Primary practice location
1233 34TH St NW
Bemidji, MN 56601-5112
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (701) 204-2185
Other practice location 1
916 Arch Ln SW
Bemidji, MN 56601-8861
Phone (701) 204-2185
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5522
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7593 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
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.
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1043826605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "701-204-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 34TH ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015112",
"telephone_number": "218-333-5285"
}
],
"practiceLocations": [
{
"address_1": "916 Arch Ln SW",
"address_purpose": "LOCATION",
"city": "Bemidji",
"state": "MN",
"postal_code": "566018861",
"country_code": "US",
"telephone_number": "701-204-2185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPLETTSTOESZER",
"first_name": "ANGELA",
"middle_name": "JEAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "7593",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MN",
"license": "7593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
- Hani Snounou, M.D
- Rebecca Bengtson Snyder, M.S.W.
- Catherine Ann Sorensen Sr.
- Ivar Sorenson, DC
- Speech Place LLC
- Jerrod Douglas Spring, MD
- State of Minnesota - Minnesota Management and Budget (Minnesota Veterans Homes Dental Clinic)
- State of Minnesota-Minnesota Management and Budget (Minnesota Veterans Home - Bemidji)
- Michelle M Stately, CHW
- Maria K Statton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.