Individual provider Active NPI

Meghan Stommes, WHNP-BC

  • Women's Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1366842734
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
199362-4 Issued in MN
Practice address
801 Nicollet Mall Ste 400
Minneapolis, MN 55402-2520
Phone
(612) 333-2503
Fax
(612) 333-7080
NPI assigned
Sep 3, 2014
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 199362-4 MN Primary

Addresses

Primary practice location

801 Nicollet Mall Ste 400
Minneapolis, MN 55402-2520

Mailing address

801 Nicollet Mall Ste 400
Minneapolis, MN 55402-2520
Phone (612) 333-2503

Other practice location 1

3400 W 66th St Ste 385
Edina, MN 55435-2197
Phone (952) 927-6561

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msullivan458438@excellian.direct.allina.com Direct

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
I20190130002702 MN Practitioner - Nurse Practitioner 2860739745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

3400 W 66TH St
Suite 385
Edina, MN 55435-2197
Phone (952) 927-6561

6565 France Ave S
Suite 300
Edina, MN 55435-2154
Phone (952) 223-2100

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199362-4MNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Obstetrics and Gynecology Associates, P.a. CurrentSince Jan 1, 2019 Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients

Locations

305 E Nicollet Blvd
Ste 170
Burnsville, MN 55337
Phone (952) 435-4190

3400 W 66th St
Ste 385
Minneapolis, MN 55435
Phone (952) 920-2761

6565 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 806-0011

801 Nicollet Mall
Ste 400
Minneapolis, MN 55402
Phone (612) 333-2503

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

Interoperability endpoints

  • Direct secure messaging: msullivan458438@excellian.direct.allina.com

Organizations & group practices 4

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1366842734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NICOLLET MALL STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022520",
            "telephone_number": "612-333-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NICOLLET MALL STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022520",
            "telephone_number": "612-333-2503",
            "fax_number": "612-333-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W 66th St Ste 385",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352197",
            "country_code": "US",
            "telephone_number": "952-927-6561",
            "fax_number": "952-927-6569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOMMES",
        "first_name": "MEGHAN",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "199362-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msullivan458438@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "902 E 26th St Ste 1700",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554044514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.