Active NPI
Pennelope H Fearing, ANP
- Adult Health Nurse Practitioner
- Maple Grove, MN
National Provider Identifier
1063471381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RO 76345-7
- Practice address
- 9550 Upland LN N Ste 100
Maple Grove, MN 55369-4482 - Phone
- (763) 772-9820
- Fax
- (763) 537-6666
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RO 76345-7 | MN | Primary |
Addresses
Primary practice location
9550 Upland LN N Ste 100
Maple Grove, MN 55369-4482
Mailing address
2104 Northdale Blvd NW Ste 220
Mr 10809
Minneapolis, MN 55433-3046
Phone (763) 537-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pfearing82936@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO 76345-7 | MN | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- pfearing82936@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1063471381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 NORTHDALE BLVD NW STE 220",
"address_2": "MR 10809",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554333046",
"telephone_number": "763-537-2000",
"fax_number": "763-537-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 UPLAND LN N STE 100",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694482",
"telephone_number": "763-772-9820",
"fax_number": "763-537-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEARING",
"first_name": "PENNELOPE",
"middle_name": "H",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "RO 76345-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pfearing82936@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "4050 Coon Rapids Blvd NW",
"city": "Coon Rapids",
"state": "MN",
"country_code": "US",
"postal_code": "554332522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.