NPIMap

Organization Active NPI

Saint Gianna Obstetrics Fertility and Surgery PLLC

Doing business as Nova Vita

  • Obstetrics & Gynecology Physician
  • Saint Paul, MN
National Provider Identifier
1457042137
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SAINT GIANNA OBSTETRICS FERTILITY AND SURGERY PLLC
Doing business as
Nova Vita
Practice address
3100 Kennard St Ste 230
Saint Paul, MN 55109-5466
Phone
(651) 397-0570
Fax
(651) 314-4134
NPI assigned
May 15, 2023
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Dr. Elizabeth Nordin, MDNPI 1356791271
Title
Owner
Phone
(651) 397-0570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3100 Kennard St Ste 230
Saint Paul, MN 55109-5466

Mailing address

3100 Kennard St Ste 230
Saint Paul, MN 55109-5466
Phone (651) 397-0570

Other practice location 1

4465 White Bear Pkwy Ste 2
White Bear Lake, MN 55110-7623
Phone (651) 397-0570

Other names 1

  • Nova Vita Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721002292 MN Part B Supplier - Clinic/Group Practice 7214397272 Receives reassigned benefits from 11 practitioners
Practice locations: White Bear Lake, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2285054St Gianna Obstetrics, Fertility and Surgery3100 Kennard Street Suite 230, Saint Paul, MN 55109Certificate of waiverJul 4, 2027

National Provider Directory

National Provider Directory

Locations

3100 Kennard St
Maplewood, MN 55109
Phone (651) 225-5420

3100 Kennard St
Ste 230
Saint Paul, MN 55109
Phone (651) 397-0570

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1457042137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 KENNARD ST STE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551095466",
            "telephone_number": "651-397-0570",
            "fax_number": "651-314-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KENNARD ST STE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551095466",
            "telephone_number": "651-397-0570",
            "fax_number": "651-314-4134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4465 White Bear Pkwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551107623",
            "country_code": "US",
            "telephone_number": "651-397-0570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAINT GIANNA OBSTETRICS FERTILITY AND SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "NORDIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-397-0570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Vita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.