Individual provider Active NPI

Emily Kratochwill

  • Family Nurse Practitioner
  • Hopkins, MN
National Provider Identifier
1457744260
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 3879 Issued in MN
Practice address
10903 Excelsior Blvd
Hopkins, MN 55343
Phone
(952) 933-1150
Fax
(952) 930-3304
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP 3879 MN Primary

Addresses

Primary practice location

10903 Excelsior Blvd
Hopkins, MN 55343

Mailing address

10903 Excelsior Blvd
Hopkins, MN 55343-3420
Phone (952) 933-1150

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
I20150701002547 MN Practitioner - Nurse Practitioner 8325350408 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

6405 France Ave S
Suite W440
Edina, MN 55435-2163
Phone (952) 848-5600

6405 France Ave S
Suite W440
Edina, MN 55435-2190
Phone (952) 927-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3879MNMDClinical Social Worker
CNP 3879MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Dec 1, 2024 Accepting new patients
Fairview Health Services CurrentSince Dec 1, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Wellspring Health Center PLLC CurrentSince Apr 14, 2018 Accepting new patients
Fairview Health Services CurrentSince Dec 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Dec 1, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Feb 18, 2017 Accepting new patients

Locations

6485 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 933-1150

6405 France Ave S
Ste W440
Edina, MN 55435
Phone (952) 345-4178

10903 Excelsior Blvd
Hopkins, MN 55343
Phone (952) 933-1150

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

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

Interoperability endpoints

  • Direct secure messaging: ekratochwill2452348@fairview.direct-ci.com

Organizations & group practices 9

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1457744260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 EXCELSIOR BLVD",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433420",
            "telephone_number": "952-933-1150",
            "fax_number": "952-930-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 EXCELSIOR BLVD",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "952-933-1150",
            "fax_number": "952-930-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATOCHWILL",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

Verify at the official NPI Registry.