Active NPI
Alison O'Meara, APRN-CNP
- Gerontology Nurse Practitioner
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5015223
- Practice address
- 9825 Hospital Dr Ste 105
Maple Grove, MN 55369-4769 - Phone
- (763) 780-6699
- Fax
- (763) 420-0500
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 321771 | NC | |
| Registered Nurse | 163W00000X | 2082592 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 6256 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 5015223 | NC | Primary |
Addresses
Primary practice location
9825 Hospital Dr Ste 105
Maple Grove, MN 55369-4769
Mailing address
106 Forestcrest CT
Apex, NC 27502-3889
Phone (651) 373-7732
Other practice location 1
1495 County Road 101 N
Plymouth, MN 55447-3078
Phone (763) 780-6699
Other practice location 2
1700 Highway 25 N Ste 120
Buffalo, MN 55313-1930
Phone (763) 780-6699
Other practice location 3
480 Osborne Rd NE Ste 100
Fridley, MN 55432-2781
Phone (763) 780-6699
Other practice location 4
2600 39th Ave NE
Minneapolis, MN 55421-4379
Phone (763) 780-6699
Other practice location 5
84 Johnson Estate Rd
Clayton, NC 27520-9289
Phone (919) 359-3878
Other practice location 6
250 NC-210
Smithfield, NC 27577
Phone (919) 989-4848
Other practice location 7
3366 Oakdale Ave N Ste 200
Robbinsdale, MN 55422-2962
Phone (763) 780-6699
Other practice location 8
5700 Bottineau Blvd Ste 100
Crystal, MN 55429-3184
Phone (763) 780-6699
Other practice location 9
11855 Ulysses St NE Ste 210
Blaine, MN 55434-4181
Phone (763) 780-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6256 | MN | MD | Chiropractor |
| 2082592 | MN | MD | Registered Nurse |
| 5015223 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610
160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- aomeara429265@direct.centracare.com
Organizations & group practices 1
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": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1376012831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FORESTCREST CT",
"city": "APEX",
"state": "NC",
"postal_code": "275023889",
"telephone_number": "651-373-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 HOSPITAL DR STE 105",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694769",
"telephone_number": "763-780-6699",
"fax_number": "763-420-0500"
}
],
"practiceLocations": [
{
"address_1": "1495 County Road 101 N",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MN",
"postal_code": "554473078",
"country_code": "US",
"telephone_number": "763-780-6699",
"fax_number": "763-420-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Highway 25 N Ste 120",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "MN",
"postal_code": "553131930",
"country_code": "US",
"telephone_number": "763-780-6699",
"fax_number": "763-420-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "480 Osborne Rd NE Ste 100",
"address_purpose": "LOCATION",
"city": "Fridley",
"state": "MN",
"postal_code": "554322781",
"country_code": "US",
"telephone_number": "763-780-6699",
"fax_number": "763-420-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 39th Ave NE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554214379",
"country_code": "US",
"telephone_number": "763-780-6699",
"fax_number": "763-420-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "84 Johnson Estate Rd",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "NC",
"postal_code": "275209289",
"country_code": "US",
"telephone_number": "919-359-3878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 NC-210",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "27577",
"country_code": "US",
"telephone_number": "919-989-4848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3366 Oakdale Ave N Ste 200",
"address_purpose": "LOCATION",
"city": "Robbinsdale",
"state": "MN",
"postal_code": "554222962",
"country_code": "US",
"telephone_number": "763-780-6699",
"fax_number": "763-420-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5700 Bottineau Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Crystal",
"state": "MN",
"postal_code": "554293184",
"country_code": "US",
"telephone_number": "763-780-6699",
"fax_number": "763-420-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11855 Ulysses St NE Ste 210",
"address_purpose": "LOCATION",
"city": "Blaine",
"state": "MN",
"postal_code": "554344181",
"country_code": "US",
"telephone_number": "763-780-6699",
"fax_number": "763-420-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'MEARA",
"first_name": "ALISON",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2021-12-08",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "321771",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2082592",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "6256",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5015223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.