NPIMap

Individual provider Active NPI

Arianne Davis, AGNP-C

  • Primary Care Nurse Practitioner
  • New Hope, MN
National Provider Identifier
1104622547
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
12631 Issued in MN
Practice address
5430 Boone Ave N
New Hope, MN 55428
Phone
(763) 592-2600
NPI assigned
Feb 24, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 12631 MN Primary

Addresses

Primary practice location

5430 Boone Ave N
New Hope, MN 55428

Mailing address

4200 Winchester CT
Minnetonka, MN 55345-2555
Phone (213) 389-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508000401 MN Practitioner - Nurse Practitioner 3577080050 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
Curana Health of Minnesota PLLCGroup PAC ID 6305233461, 62 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1900 Sherren Ave E
Maplewood, MN 55109-2803
Phone (651) 770-1365

5123 W 98TH St
Suite 2082
Minneapolis, MN 55437-2040
Phone (737) 226-6700

5430 Boone Ave N
New Hope, MN 55428-3615
Phone (248) 660-1220

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Minnesota PLLC Nurse Practitioner CurrentSince Nov 11, 2025 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Sep 1, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Mar 24, 2025 Accepting new patients
Applebaum Physiatry PLLC Primary Care CurrentSince May 12, 2025 Accepting new patients
CH Specialty Services MN PC CurrentSince Nov 18, 2025 Accepting new patients
Theoria Medical Nurse Practitioner Past Accepting new patients
Complexcare Medical Group Midwest M PLLC Nurse Practitioner Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490

5430 Boone Ave N
New Hope, MN 55428
Phone (763) 492-3000

501 2nd St SE
Osseo, MN 55369
Phone (763) 425-3939

1900 Sherren Ave E
Saint Paul, MN 55109
Phone (651) 419-1272

33 Christian Ave
Concord, NH 03301
Phone (603) 224-5363

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1104622547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WINCHESTER CT",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553452555",
            "telephone_number": "213-389-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 BOONE AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "55428",
            "telephone_number": "763-592-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ARIANNE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "12631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

Verify at the official NPI Registry.