Individual provider Active NPI

Maria Kathleen Horne

  • Family Nurse Practitioner
  • Oakdale, MN
National Provider Identifier
1144733551
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09171217 Issued in MN
Practice address
1099 Helmo Ave N Ste 100
Oakdale, MN 55128-6034
Phone
(651) 326-5300
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09171217 MN Primary

Addresses

Primary practice location

1099 Helmo Ave N Ste 100
Oakdale, MN 55128-6034

Mailing address

1690 University Ave W Ste 370
Saint Paul, MN 55104-3723
Phone (651) 232-5321

Other practice location 1

401 SE Main St Apt 3009
Minneapolis, MN 55414-4607
Phone (651) 786-9295

Other names 1

  • Maria Kathleen Sevenich Former name

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
I20180213000865 MN Practitioner - Nurse Practitioner 1153681135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1099 Helmo Ave N
Suite 100
Oakdale, MN 55128-6034
Phone (651) 326-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09171217MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute CurrentSince Jan 5, 2018 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 5, 2018 Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

1099 Helmo Ave N
Ste 110
Oakdale, MN 55128
Phone (651) 232-5075

1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

Interoperability endpoints

  • Direct secure messaging: mhorne629101@fairview.direct-ci.com

Organizations & group practices 4

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144733551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVE W STE 370",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043723",
            "telephone_number": "651-232-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N STE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286034",
            "telephone_number": "651-326-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 SE Main St Apt 3009",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554144607",
            "country_code": "US",
            "telephone_number": "651-786-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNE",
        "first_name": "MARIA",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F09171217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SEVENICH",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

Verify at the official NPI Registry.