Active NPI
Genevieve Eliza Curtis Utley, APRN, FNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1386200228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6587
- Practice address
- 2717 E 42ND St Ste B
Minneapolis, MN 55406-3068 - Phone
- (612) 735-0997
- Fax
- (617) 362-2618
- NPI assigned
- May 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6587 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 6587 | MN | Primary |
Addresses
Primary practice location
2717 E 42ND St Ste B
Minneapolis, MN 55406-3068
Mailing address
2717 E 42ND St Ste B
Minneapolis, MN 55406-3068
Phone (612) 735-0997
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1624 Harmon PL
Suite 300B
Minneapolis, MN 55403-1906
Phone (612) 735-0997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6587 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Echo Integrated Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Hennepin County | Psychiatric/Mental Health | Past | Accepting new patients |
| Fairview Pharmacy Services LLC | Past | Accepting new patients |
Locations
1624 Harmon Pl
Ste 300B
Minneapolis, MN 55403
Phone (612) 735-0997
2717 E 42nd St
Ste B
Minneapolis, MN 55406
Phone (612) 247-2338
Interoperability endpoints
- genevieve@echointegratedhealthcare.kareodirect.com
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1407438898
-
- Non-Pharmacy Dispensing Site
- Richfield, MN
- NPI 1295178135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1386200228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 E 42ND ST STE B",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063068",
"telephone_number": "612-735-0997",
"fax_number": "617-362-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 E 42ND ST STE B",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063068",
"telephone_number": "612-735-0997",
"fax_number": "617-362-2618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTLEY",
"first_name": "GENEVIEVE",
"middle_name": "ELIZA CURTIS",
"credential": "APRN, FNP, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "6587",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "6587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.