Angela Mostrom, APRN, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

6980 Issued in MN

Practice address

1451 Adams St S
Shakopee, MN 55379-2697

Phone

(952) 428-4200

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Minnesota Disc Institute, PA

  • Chiropractor
  • Edina, MN
  • NPI 1396966057
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1396387593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14460 CASTLEGATE WAY NW",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724001",
            "telephone_number": "952-457-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ADAMS ST S",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792697",
            "telephone_number": "952-428-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Egan Dr",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553782699",
            "country_code": "US",
            "telephone_number": "952-428-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTROM",
        "first_name": "ANGELA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "6980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Mohn, CRNA
• Alyssa Molnar
• Steven Norman Monroe, OD
• Samantha Michelle Moretter
• Keosha Morris
• Larrnix Moua, DC
• Joyce W Mugaki, RN,BSN
• Quresha Mohamed Muhumed
• Miranda Joy Mulligan, DDS
• David A Munch, CRNA

• Nurse Practitioner in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.