Individual provider Active NPI

Gail Ann Conzemius, MA RNC NP

  • Adult Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1225156227
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0093337 Issued in MD
Practice address
2115 Summit Ave
#5056
Saint Paul, MN 55105-1096
Phone
(651) 962-6750
Fax
(651) 962-6751
NPI assigned
Mar 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 0093337 MD Primary
Registered Nurse 163W00000X R 096379-4 MN

Addresses

Primary practice location

2115 Summit Ave
#5056
Saint Paul, MN 55105-1096

Mailing address

10979 140TH St E
Hastings, MN 55033-8515
Phone (651) 437-9138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R 096379-4MNMDRegistered Nurse
0093337MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Student Health Service University of St. Thomas Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225156227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 140TH ST E",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550338515",
            "telephone_number": "651-437-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SUMMIT AVE",
            "address_2": "#5056",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051096",
            "telephone_number": "651-962-6750",
            "fax_number": "651-962-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONZEMIUS",
        "first_name": "GAIL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA RNC NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "0093337",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 096379-4",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.