Andrea Barnes, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Wayzata, MN
NPI 1245041649 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1245041649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 12443 (MN)
- Practice address
- 1120 Wayzata Blvd E Ste 110
Wayzata, MN 55391-1985 - Phone
- (952) 222-7670
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12443 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneapolis Integrative Medicine Center, LLC | Current |
Accepting new patients | |
| Midwest Immunology Clinics, PLLC | Past | Accepting new patients |
Locations
1120 Wayzata Blvd E
Ste 110
Wayzata, MN 55391
Phone (952) 222-7670
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 12443 | MN | Yes |
Addresses
Primary practice location
1120 Wayzata Blvd E Ste 110
Wayzata, MN 55391-1985
Mailing address
5788 Polar Cir
Silver Bay, MN 55614-3600
Phone (204) 721-4830
Other providers in Wayzata, MN
- William H Anderson
- Dorit Atar
- Aurora Lake Mental Health PLLC
- Avid Health and Wellness Chiropractic
- Dana Theresa Bageon
- Cynthia Barnett
- Luqman Barre
- Bashioum Cosmetic Surgery Center, LTD.
- Ralph W Bashioum
- Basic Home Care
All providers in Wayzata, MN · Primary Care Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.