Individual provider Active NPI

Gabrielle Lenore Gotlund, DNP

  • Women's Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1437935897
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
10710 Issued in MN
Practice address
671 Vandalia St
Saint Paul, MN 55114-1312
Phone
(651) 698-2406
NPI assigned
Sep 1, 2023
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 10710 MN Primary

Addresses

Primary practice location

671 Vandalia St
Saint Paul, MN 55114-1312

Mailing address

3510 Rhode Island Ave S
St Louis Park, MN 55426-4029

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
I20231019003423 MN Practitioner - Nurse Practitioner 9133575699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10710MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Oct 7, 2023 Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients

Locations

6527 Lyndale Ave S
Richfield, MN 55423
Phone (612) 874-1420

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

Organizations & group practices 2

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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1437935897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 RHODE ISLAND AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "651-698-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTLUND",
        "first_name": "GABRIELLE",
        "middle_name": "LENORE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "10710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.