Individual provider Active NPI

Nathan William Koranda, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Edina, MN
National Provider Identifier
1174200356
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10393 Issued in MN
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

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808003519 MN Practitioner - Nurse Practitioner 0840652897 Reassigns benefits to 3 organizations

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
Eagan Counseling ClinicGroup PAC ID 2860304045, 62 clinicians
Yourpath Care, PLLCGroup PAC ID 4486017050, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
St. Croix Psychiatric, LLC CurrentSince Aug 14, 2023 Accepting new patients
Eagan Counseling Clinic CurrentSince Sep 18, 2025 Accepting new patients
Yourpath Care, PLLC CurrentSince Mar 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.