Individual provider Active NPI

Kari Elaine Swanson I I, CNP

  • Family Nurse Practitioner
  • Maplewood, MN
National Provider Identifier
1306602578
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11311 Issued in MN
Practice address
2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568
Phone
(612) 444-3247
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11311 MN Primary

Addresses

Primary practice location

2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568

Mailing address

2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568
Phone (612) 444-3247

Other practice location 1

4181 108th Ave NE
Blaine, MN 55449-7439
Phone (612) 444-3247

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240801004053 MN Practitioner - Nurse Practitioner 8628515152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Womens Care PAGroup PAC ID 9638329394, 44 clinicians

Practice addresses (Care Compare)

2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 600-3035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11311MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Center of Minnesota PLLC Multi-Specialty CurrentSince May 23, 2024 Accepting new patients
Minnesota Women'S Care, P.a. Multi-Specialty CurrentSince Mar 29, 2025 Accepting new patients
Comprehensive Healthcare for Women, PA Multi-Specialty CurrentSince Mar 29, 2025 Accepting new patients

Locations

4181 108th Ave NE
Blaine, MN 55449
Phone (763) 581-0555

12940 Harriet Ave S
Ste 220
Burnsville, MN 55337
Phone (612) 888-3247

2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125

2480 White Bear Ave N
Ste 104
Saint Paul, MN 55109
Phone (651) 493-3448

8325 City Centre Dr
Ste 140
Woodbury, MN 55125
Phone (651) 731-0859

1687 Woodlane Dr
Woodbury, MN 55125
Phone (651) 209-6685

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1306602578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 104",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094568",
            "telephone_number": "612-444-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 104",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094568",
            "telephone_number": "612-444-3247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4181 108th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554497439",
            "country_code": "US",
            "telephone_number": "612-444-3247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON I I",
        "first_name": "KARI",
        "middle_name": "ELAINE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.