Individual provider Active NPI

Rachel Annastasia Coulter

  • Psychiatric/Mental Health Nurse Practitioner
  • Rogers, MN
National Provider Identifier
1083572689
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13814 Issued in MN
Practice address
21370 John Milless Dr Ste 210
Rogers, MN 55374-4622
Phone
(763) 428-2288
NPI assigned
Jan 13, 2026
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13814 MN Primary

Addresses

Primary practice location

21370 John Milless Dr Ste 210
Rogers, MN 55374-4622

Mailing address

21370 John Milless Dr Ste 210
Rogers, MN 55374-4622
Phone (763) 428-2288

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
I20260213001567 MN Practitioner - Nurse Practitioner 8527548171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Psychiatry LLCGroup PAC ID 7214214584, 6 clinicians

Practice addresses (Care Compare)

21370 John Milless Dr
Suite 210
Rogers, MN 55374-4622
Phone (763) 428-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Psychiatry, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

303 Credit Union Dr
Ste 12B
Isanti, MN 55040
Phone (763) 428-2288

21370 John Milless Dr
Ste 210
Rogers, MN 55374
Phone (763) 428-2288

Organizations & group practices 1

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": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1083572689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21370 JOHN MILLESS DR STE 210",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744622",
            "telephone_number": "763-428-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21370 JOHN MILLESS DR STE 210",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744622",
            "telephone_number": "763-428-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "RACHEL",
        "middle_name": "ANNASTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "13814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

Verify at the official NPI Registry.