Individual provider Active NPI

Genevieve Eliza Curtis Utley, APRN, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1386200228
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6587 Issued in MN
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

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725001694 MN Practitioner - Nurse Practitioner 4880920065 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
6587MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Echo Integrated Health LLC Psychiatric/Mental Health CurrentSince Jun 3, 2021 Accepting new patients
Hennepin County Psychiatric/Mental Health Past Accepting new patients
Fairview Pharmacy Services LLC PastSince Jul 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.