Individual provider Active NPI

Dana Kromar, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • White Bear Lake, MN
National Provider Identifier
1477392991
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11622 Issued in MN
Practice address
4801 Highway 61 N Ste 204
White Bear Lake, MN 55110-2752
Phone
(763) 465-6700
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11622 MN Primary

Addresses

Primary practice location

4801 Highway 61 N Ste 204
White Bear Lake, MN 55110-2752

Mailing address

4801 Highway 61 N Ste 204
White Bear Lake, MN 55110-2752

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
I20240903000670 MN Practitioner - Nurse Practitioner 5799224994 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Introspect Mental Health LLC CurrentSince Aug 20, 2024 Accepting new patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients

Locations

144 2nd Ave SE
Cambridge, MN 55008
Phone (763) 465-0720

301 Village Pkwy
Circle Pines, MN 55014
Phone (612) 401-4573

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

4801 Highway 61 N
Ste 204
White Bear Lk, MN 55110
Phone (763) 465-6700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1477392991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 HIGHWAY 61 N STE 204",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 HIGHWAY 61 N STE 204",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102752",
            "telephone_number": "763-465-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROMAR",
        "first_name": "DANA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

Verify at the official NPI Registry.