Anne Marie Lillyblad, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP 4008 Issued in MN

Practice address

10705 Town Square Dr NE
Ste 100
Blaine, MN 55449-8184

Phone

(763) 236-5400

NPI assigned

Aug 17, 2015

Last updated

Mar 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allina Health Home Health Home health agency, Minneapolis, MN, CCN 248091

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alillyblad49887@excellian.direct.allina.com

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.

• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment NPD
• Allina Health System

  dba Allina Health Annandale Clinic

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249
  Medicare reassignment NPD
• Allina Health System

  dba Women's Health Consultants

  • Obstetrics & Gynecology Physician
  • Minneapolis, MN
  • NPI 1801836663
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Allina Health System

  dba Allina Health Savage Clinic

  • Family Medicine Physician
  • Savage, MN
  • NPI 1952343691
  NPD
• Allina Health System

  dba Allina Health Inver Grove Heights Clinic

  • Family Medicine Physician
  • Inver Grove Heights, MN
  • NPI 1083910871
  NPD (past)

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

• Allina Health System

  dba Allina Health Home Health

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1184661894
  Care Compare affiliation
• Allina Health System

  dba Allina Health Home Health

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1316985039
  Care Compare affiliation
• Allina Health System

  dba Allina Health Home Health Elevated Care at Home

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1831909134
  Care Compare affiliation

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1245606961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 118TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495857",
            "telephone_number": "763-228-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 TOWN SQUARE DR NE",
            "address_2": "STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554498184",
            "telephone_number": "763-236-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLYBLAD",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4008",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R174346-3",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alillyblad49887@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "10705 Town Square Dr NE",
            "address_2": "Ste 100",
            "city": "Blaine",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554498184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea L Lewis, DPT
• Tara L. Lewis, PT
• Gregory R Liebsch, DDS
• Life Jornee Home Health Care LLC
• Life's Companion P.C.a., Inc.
• Lincolnton Dialysis LLC (Central Avenue Dialysis)
• Ashley Kay Lindahl, ATC, LAT
• Lindstrom Chiropractic Center, PA (Club West Chiropractic)
• Ling Family Dentistry
• Robert Clayton Link, MD

• Family Nurse Practitioner in Blaine, MN
• Providers in Blaine, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.