Active NPI
Elisa M Smith, APRN, CNS
- Clinical Nurse Specialist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- CNS 0275
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (612) 262-5000
- NPI assigned
- Sep 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 275 | MN | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 275 | MN | |
| Clinical Nurse Specialist | 364S00000X | CNS 0275 | MN | Primary |
Addresses
Primary practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55721 | Other | IA | WELLMARK BCBS |
| 0423194 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | esmith296765@excellian.direct.allina.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
7373 France Ave S
Suite 202
Edina, MN 55435-4551
Phone (952) 835-1311
800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4000
Hospital & facility affiliations
- Abbott Northwestern Hospital
- St Francis Regional Medical Center
- Allina Health Faribault Medical Center
- New Ulm Medical Center
- Genesis Medical Center-Davenport
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275 | MN | MD | Adult Health Nurse Practitioner |
| CNS 0275 | MN | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
35 State Ave
Ste 1
Faribault, MN 55021
Phone (507) 497-3528
800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
7373 France Ave S
Ste 300
Minneapolis, MN 55435
Phone (952) 428-0500
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141
1601 Saint Francis Ave
Ste 100
Shakopee, MN 55379
Phone (952) 403-3535
1455 Saint Francis Ave
Ste 1000
Shakopee, MN 55379
Phone (952) 428-2099
Interoperability endpoints
- esmith296765@excellian.direct.allina.com
Organizations & group practices 8
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.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Clinic/Center
- Coon Rapids, MN
- NPI 1811293269
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 31
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- General Acute Care Hospital
- Faribault, MN
- NPI 1154741577
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1164419644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ELISA",
"middle_name": "M",
"credential": "APRN, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "275",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "MN",
"license": "275",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MN",
"license": "CNS 0275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "55721",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0423194",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "esmith296765@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2925 Chicago Ave",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554071321",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.