Individual provider Active NPI

Lindsay Joy Kropelnicki, APRN CNP

  • Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1104163989
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1832 Issued in MN
Practice address
35 Water St W
Saint Paul, MN 55107-2046
Phone
(651) 376-3942
Fax
(651) 488-0887
NPI assigned
Jan 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1859111 MN
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 4037 MN
Nurse Practitioner 363L00000X 1832 MN Primary

Addresses

Primary practice location

35 Water St W
Saint Paul, MN 55107-2046

Mailing address

3329 University Ave SE
Minneapolis, MN 55414-3325
Phone (612) 454-2260

Other practice location 1

924 Rice St
Saint Paul, MN 55117-4987
Phone (651) 376-3942

Other practice location 2

5810 Cranberry Dr
Wyoming, MN 55092-9499
Phone (651) 376-3942

Other practice location 3

360 Sherman St Ste 400
Saint Paul, MN 55102-2425
Phone (651) 225-1102

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
I20130301000029 MN Practitioner - Nurse Practitioner 2961657705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4037MNMDMarriage & Family Therapist
1859111MNMDRegistered Nurse
1832MNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1104163989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 UNIVERSITY AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143325",
            "telephone_number": "612-454-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WATER ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072046",
            "telephone_number": "651-376-3942",
            "fax_number": "651-488-0887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Rice St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551174987",
            "country_code": "US",
            "telephone_number": "651-376-3942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5810 Cranberry Dr",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MN",
            "postal_code": "550929499",
            "country_code": "US",
            "telephone_number": "651-376-3942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Sherman St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022425",
            "country_code": "US",
            "telephone_number": "651-225-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROPELNICKI",
        "first_name": "LINDSAY",
        "middle_name": "JOY",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1859111",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "4037",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "1832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.