Individual provider Active NPI

Anne Gavin Berglund, APRN, CNP

  • Acute Care Nurse Practitioner
  • Robbinsdale, MN
National Provider Identifier
1477020154
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
6274 Issued in MN
Practice address
3366 Oakdale Ave N Ste 401
Robbinsdale, MN 55422-2986
Phone
(763) 520-2940
NPI assigned
Oct 31, 2018
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 6274 MN Primary

Addresses

Primary practice location

3366 Oakdale Ave N Ste 401
Robbinsdale, MN 55422-2986

Mailing address

3366 Oakdale Ave N Ste 401
Robbinsdale, MN 55422-2986
Phone (763) 520-2940

Other names 1

  • Ms. Anne Marie Gavin Former name

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
I20181119000411 MN Practitioner - Nurse Practitioner 9537413125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Respiratory Consultants PAGroup PAC ID 6204736853, 22 clinicians

Practice addresses (Care Compare)

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-5200

3366 Oakdale Ave N
Suite 401
Robbinsdale, MN 55422-2986
Phone (763) 520-2940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6274MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Consultants PA CurrentSince Nov 1, 2022 Accepting new patients
North Memorial Health Care CurrentSince Sep 1, 2022 Accepting new patients
North Memorial Health Care Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Past Accepting new patients

Locations

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-2203

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3300 Oakdale Ave N
Apt 180
Robbinsdale, MN 55422
Phone (763) 581-5140

3366 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5281

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

3366 Oakdale Ave N
Ste 401
Robbinsdale, MN 55422
Phone (763) 398-6383

3366 Oakdale Ave N
Ste 605
Robbinsdale, MN 55422
Phone (612) 561-5986

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1477020154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N STE 401",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222986",
            "telephone_number": "763-520-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N STE 401",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222986",
            "telephone_number": "763-520-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGLUND",
        "first_name": "ANNE",
        "middle_name": "GAVIN",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MN",
            "license": "6274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "GAVIN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "APRN, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Robbinsdale, MN

Sources for this page

Verify at the official NPI Registry.