Fabio Anifrani, CNP, APRN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Savage, MN
NPI 1467268656 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1467268656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 12419 (MN)
- Practice address
- 6375 W 143Rd St
Savage, MN 55378-2888 - Phone
- (952) 592-2200
- NPI assigned
- Dec 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Serenity Behavioral Health and Wellness, LLC
Practice addresses (Care Compare)
6375 143Rd St W
Savage, MN 55378-2888
Phone (952) 592-2200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250702000339 | MN | Practitioner - Nurse Practitioner | 6800309832 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12419 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Behavioral Health & Wellness LLC | Current |
Accepting new patients |
Locations
6375 W 143rd St
Savage, MN 55378
Phone (952) 592-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12419 | MN | Yes |
Addresses
Primary practice location
6375 W 143Rd St
Savage, MN 55378-2888
Mailing address
18102 Settlers Way
Eden Prairie, MN 55347-1029
Phone (651) 795-1603
Other practice location 1
6401 France Ave S
Edina, MN 55435-2104
Phone (651) 206-6914
Other providers in Savage, MN
- Lexis Anderson
- Stacy Marie Anderson
- Tait Anderson
- Tara Anderson
- Angel Ride LLC
- Mindy Leigh Antiel
- Basheer Mohamed Anwar
- Apex Counseling Online LLC
- Arise Family Medical PLLC
- Arise Wound Institute PLLC
All providers in Savage, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.