Individual provider Active NPI

Rachel Ann Tank, DNP, APRN, CNP, WHNP

  • Women's Health Nurse Practitioner
  • Rochester, MN
National Provider Identifier
1053089250
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
8439 Issued in MN
Practice address
201 Center St W
Rochester, MN 55902-3003
Phone
(507) 266-7890
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 8439 MN Primary

Addresses

Primary practice location

201 Center St W
Rochester, MN 55902-3003

Mailing address

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125-3046
Phone (651) 600-3035

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
I20211102000064 MN Practitioner - Nurse Practitioner 7012305618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Womens Care PAGroup PAC ID 9638329394, 44 clinicians

Practice addresses (Care Compare)

1687 Woodlane Dr
Suite 101
Woodbury, MN 55125-3046
Phone (651) 600-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8439MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Women's Care, P.a. CurrentSince Nov 1, 2021 Accepting new patients
Comprehensive Healthcare for Women, PA CurrentSince Oct 31, 2021 Accepting new patients

Locations

15000 Garrett Ave
Apple Valley, MN 55124

2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA/Endpoint/FAHCDA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1053089250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 WOODLANE DR",
            "address_2": "STE 101",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253046",
            "telephone_number": "651-600-3035",
            "fax_number": "651-348-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CENTER ST W",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023003",
            "telephone_number": "507-266-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANK",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CNP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "8439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.