Active NPI
Nathan William Koranda, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10393
- Practice address
- 7300 Metro Blvd Ste 400
Edina, MN 55439-2307 - Phone
- (612) 230-0465
- Fax
- (763) 334-5806
- NPI assigned
- Jun 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10393 | MN | Primary |
Addresses
Primary practice location
7300 Metro Blvd Ste 400
Edina, MN 55439-2307
Mailing address
5123 W 98TH St # 2110
Minneapolis, MN 55437-2040
Phone (630) 854-6601
Other practice location 1
559 Capitol Blvd
Saint Paul, MN 55103-2101
Phone (763) 656-0475
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
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 Oleary LN
Eagan, MN 55123-2340
Phone (651) 454-0114
700 Raymond Ave
Suite 130
Saint Paul, MN 55114-1778
Phone (612) 895-1510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Psychiatric, LLC | Current | Accepting new patients | |
| Eagan Counseling Clinic | Current | Accepting new patients | |
| Yourpath Care, PLLC | Current | Accepting new patients | |
| Center for Collaborative Health PLLC | Past | Accepting new patients |
Locations
6600 France Ave S
Ste 472
Edina, MN 55435
Phone (651) 395-5795
9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800
4510 77th St W
Minneapolis, MN 55435
Phone (952) 230-9100
700 Raymond Ave
Ste 130
Saint Paul, MN 55114
Phone (612) 895-1510
3450 Oleary Ln
Saint Paul, MN 55123
Phone (651) 454-0114
Interoperability endpoints
- nathan.koranda.1@22578.direct.athenahealth.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.
-
- Clinical Psychologist
- Eagan, MN
- NPI 1144311184
-
- Psychiatry Physician
- Saint Paul, MN
- NPI 1881387504
-
- Psychiatry Physician
- Woodbury, MN
- NPI 1881849586
-
- Counseling Psychologist
- Edina, MN
- NPI 1417328808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1174200356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5123 W 98TH ST # 2110",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554372040",
"telephone_number": "630-854-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 METRO BLVD STE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "554392307",
"telephone_number": "612-230-0465",
"fax_number": "763-334-5806"
}
],
"practiceLocations": [
{
"address_1": "559 Capitol Blvd",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551032101",
"country_code": "US",
"telephone_number": "763-656-0475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORANDA",
"first_name": "NATHAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-29",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "10393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.