NPIMap

Individual provider Active NPI

Sally Kangas, CNP

  • Adult Health Nurse Practitioner
  • Edina, MN
National Provider Identifier
1225466840
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R098387-1 Issued in MN
Practice address
7235 Ohms LN
Edina, MN 55439-2148
Phone
(952) 841-2345
Fax
(952) 841-2346
NPI assigned
Oct 16, 2013
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R098387-1 MN Primary

Addresses

Primary practice location

7235 Ohms LN
Edina, MN 55439-2148

Mailing address

7235 Ohms LN
Edina, MN 55439-2148
Phone (952) 841-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140227000861 MN Practitioner - Nurse Practitioner 0143450759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew J Will MD PAGroup PAC ID 9830152495, 36 clinicians

Practice addresses (Care Compare)

7235 Ohms LN
Edina, MN 55439-2148
Phone (952) 841-2345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.75 of 100Reported as group
Quality
42.73
Promoting interoperability
96
Improvement activities
40
Cost
66.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R098387-1MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J Will MD PA Current Accepting new patients
Andrew J Will MD PA CurrentSince Nov 1, 2013 Accepting new patients
Andrew J Will MD PA CurrentSince Nov 1, 2013 Accepting new patients

Locations

14551 County Road 11
Ste 100
Burnsville, MN 55337
Phone (952) 260-1381

584 Bavaria Ln
Chaska, MN 55318

12000 Elm Creek Blvd N
Ste 300
Maple Grove, MN 55369

7225 Ohms Ln
Ste 150
Minneapolis, MN 55439

7235 Ohms Ln
Minneapolis, MN 55439
Phone (952) 204-3502

1725 Legacy Pkwy E
Ste 100
Saint Paul, MN 55109
Phone (651) 225-5420

683 Bielenberg Dr
Ste 103
Woodbury, MN 55125
Phone (651) 731-0505

Interoperability endpoints

  • Direct secure messaging: sally.kangas@direct.tcpain.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1225466840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392148",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392148",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGAS",
        "first_name": "SALLY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R098387-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.