Individual provider Active NPI

Angelica Maria Pineiro, CNP

  • Family Nurse Practitioner
  • Forest Lake, MN
National Provider Identifier
1396272159
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1986343 Issued in MN
Practice address
1068 Lake St S
Forest Lake, MN 55025-2639
Phone
(407) 810-9007
Fax
(651) 982-6035
NPI assigned
May 11, 2017
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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 1986343 MN Primary
Family Nurse Practitioner 363LF0000X 5170 MN

Addresses

Primary practice location

1068 Lake St S
Forest Lake, MN 55025-2639

Mailing address

3776 112TH LN NE
Blaine, MN 55449-6620
Phone (078) 109-0074

Other practice location 1

3776 112th Ln NE
Blaine, MN 55449-6620
Phone (407) 810-9007

Other identifiers 3

IdentifierTypeStateIssuer
5170OtherMNAPRN LICENSE
1986343OtherMNREGISTERED NURSE LICENSE
1396272159OtherMNNPI

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
I20170712000438 MN Practitioner - Nurse Practitioner 4284903931 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridges and Pathways Counseling Services Inc.Group PAC ID 2264776269, 10 clinicians
Nuway Mental Health ClinicGroup PAC ID 4587108055, 8 clinicians
Vinland National CenterGroup PAC ID 1557516184, 7 clinicians

Practice addresses (Care Compare)

1068 Lake St S
Suite 109
Forest Lake, MN 55025-2633
Phone (651) 982-4792

2217 Nicollet Ave
Minneapolis, MN 55404-3382
Phone (612) 767-0300

3675 Ihduhapi Rd
Loretto, MN 55357-2120
Phone (763) 479-3555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1986343MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuway Mental Health Clinic CurrentSince Jun 11, 2024 Accepting new patients
Vinland National Center CurrentSince Apr 23, 2023 Accepting new patients
Hue Medical, LLC Family CurrentSince Aug 3, 2025 Accepting new patients
St. Francis Regional Medical Center CurrentSince Jan 1, 2019 Accepting new patients
St Francis Regional Medical Center CurrentSince Jan 1, 2019 Accepting new patients
TNT Wellness Center CurrentSince Oct 1, 2025 Accepting new patients
Bridges and Pathways Counseling Services Inc. CurrentSince Jan 1, 2026 Accepting new patients
Karol, PC PastSince Apr 23, 2023 Accepting new patients

Locations

1068 Lake St S
Forest Lake, MN 55025
Phone (651) 362-2008

1068 Lake St S
Ste 109
Forest Lake, MN 55025
Phone (612) 597-3133

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

3675 Ihduhapi Rd
Loretto, MN 55357
Phone (763) 479-3555

2217 Nicollet Ave
Minneapolis, MN 55404
Phone (612) 767-0309

2669 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (507) 491-4387

8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600

Interoperability endpoints

  • Direct secure messaging: angelica.stoltz@292123710390276.direct.elationemr.com

Organizations & group practices 8

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1396272159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3776 112TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496620",
            "telephone_number": "078-109-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252639",
            "telephone_number": "407-810-9007",
            "fax_number": "651-982-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3776 112th Ln NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554496620",
            "country_code": "US",
            "telephone_number": "407-810-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEIRO",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "1986343",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "5170",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "1986343",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396272159",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

Verify at the official NPI Registry.