Individual provider Active NPI

Andrea Berube

  • Adult Health Nurse Practitioner
  • Northfield, MN
National Provider Identifier
1205223989
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10374 Issued in MN
Practice address
502 Division St S
Northfield, MN 55057-2087
Phone
(612) 616-7731
NPI assigned
Apr 21, 2015
Last updated
Dec 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 10374 MN Primary
Certified Registered Nurse Anesthetist 367500000X CRNA 1731 MN

Addresses

Primary practice location

502 Division St S
Northfield, MN 55057-2087

Mailing address

2651 Oak Lawn Dr
Northfield, MN 55057-3443
Phone (612) 616-7731

Other practice location 1

1000 4th St SW
Mason City, IA 50401-2800
Phone (641) 428-7000

Other practice location 2

1575 20th St NW
Faribault, MN 55021-2930
Phone (507) 332-9900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mc.mmcmc.him@direct.2.mycarefile.org Direct MercyOne North Iowa Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511001514 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577882760 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1575 20TH St NW
Suite 203
Faribault, MN 55021-2930
Phone (507) 332-9900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1731MNMDAthletic Trainer
10374MNMDAdult Health Nurse Practitioner
CRNA 1731MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Nov 9, 2017 Accepting new patients
Allina Health System Current Accepting new patients
Modern Therapeutics PLLC CurrentSince Mar 31, 2025 Accepting new patients
St. Francis Regional Medical Center CurrentSince May 1, 2023 Accepting new patients
The Lux Medspa CurrentSince Jan 5, 2025 Accepting new patients
Metropolitan Anesthesia Network, LLP Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2020 Accepting new patients
South Metropolitan Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Jun 15, 2017 Accepting new patients
University Anesthesia Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
St Francis Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Eye Clinic of Faribault PA CurrentSince Feb 7, 2018 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Jun 15, 2017 Accepting new patients
Allina Health System CurrentSince Nov 9, 2017 Accepting new patients

Locations

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

200 Schilling Dr S
Dundas, MN 55019
Phone (612) 488-2248

200 Schilling Dr S
Ste 100
Dundas, MN 55019

1575 20th St NW
Faribault, MN 55021
Phone (507) 209-6226

1575 20th St NW
#205A
Faribault, MN 55021
Phone (507) 209-6226

1575 20th St NW
Ste 101
Faribault, MN 55021
Phone (507) 332-6800

1575 20th St NW
Ste 203
Faribault, MN 55021
Phone (612) 735-1469

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

8100 W 78th St
Ste 220
Minneapolis, MN 55439
Phone (952) 914-8400

502 Division St S
Northfield, MN 55057
Phone (612) 488-2248

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

400 10th St E
Waconia, MN 55387

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1205223989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 OAK LAWN DR",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573443",
            "telephone_number": "612-616-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 DIVISION ST S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572087",
            "telephone_number": "612-616-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504012800",
            "country_code": "US",
            "telephone_number": "641-428-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 20th St NW",
            "address_purpose": "LOCATION",
            "city": "Faribault",
            "state": "MN",
            "postal_code": "550212930",
            "country_code": "US",
            "telephone_number": "507-332-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "10374",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "CRNA 1731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mc.mmcmc.him@direct.2.mycarefile.org",
            "affiliation": "Y",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "affiliationName": "MercyOne North Iowa Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1000 4th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.