Individual provider Active NPI

Ellen Gesare Monari

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1104428655
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2482478 Issued in MN
Practice address
234 Broadway St NE
Minneapolis, MN 55413-1902
Phone
(612) 724-8580
Fax
(612) 724-8580
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2482478 MN Primary

Addresses

Primary practice location

234 Broadway St NE
Minneapolis, MN 55413-1902

Mailing address

5006 Vera Cruz Ave N
Crystal, MN 55429-3082
Phone (612) 598-5079

Other practice location 1

5006 Vera Cruz Ave N
Crystal, MN 55429-3082
Phone (612) 598-5079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2482478MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Afro Home Health Care LLC CurrentSince Oct 22, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1104428655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 VERA CRUZ AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293082",
            "telephone_number": "612-598-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BROADWAY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131902",
            "telephone_number": "612-724-8580",
            "fax_number": "612-724-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Vera Cruz Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554293082",
            "country_code": "US",
            "telephone_number": "612-598-5079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONARI",
        "first_name": "ELLEN",
        "middle_name": "GESARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2482478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.