Individual provider Active NPI

Alison O'Meara, APRN-CNP

  • Gerontology Nurse Practitioner
  • Maple Grove, MN
National Provider Identifier
1376012831
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5015223 Issued in NC
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

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190130002257 MN Practitioner - Nurse Practitioner 3779820634 Reassigns benefits to 1 organization
I20211029001397 NC Practitioner - Nurse Practitioner 3779820634 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6256MNMDChiropractor
2082592MNMDRegistered Nurse
5015223NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 5, 2024 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.