Individual provider Active NPI

Ann Marie Sinda Equio, DNP

  • Family Nurse Practitioner
  • Eden Prairie, MN
National Provider Identifier
1497487813
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9154 Issued in MN
Practice address
13945 Anderson Lakes Pkwy Apt 219
Eden Prairie, MN 55344-6773
Phone
(763) 221-6963
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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 9154 MN Primary

Addresses

Primary practice location

13945 Anderson Lakes Pkwy Apt 219
Eden Prairie, MN 55344-6773

Mailing address

13945 Anderson Lakes Pkwy Apt 219
Eden Prairie, MN 55344-6773
Phone (763) 221-6963

Other identifiers 1

IdentifierTypeStateIssuer
K201164613103OtherMNDRIVERS LICENSE

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
I20220824001193 MN Practitioner - Nurse Practitioner 5395128359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Wound Care Minnesota PLLCGroup PAC ID 2769722511, 14 clinicians

Practice addresses (Care Compare)

7700 Grand Ave
Duluth, MN 55807-2154
Phone (718) 705-6010

Merit-based Incentive Payment System (MIPS)

Final score
59.96 of 100Reported as group
Quality
79.07
Promoting interoperability
0
Improvement activities
20
Cost
62.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9154MNMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Lights Health LLC Family CurrentSince Sep 3, 2022 Accepting new patients
Waterside Healthcare & Wellness, LLC Family CurrentSince Sep 3, 2022 Accepting new patients

Organizations & group practices 3

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1497487813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13945 ANDERSON LAKES PKWY APT 219",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446773",
            "telephone_number": "763-221-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 ANDERSON LAKES PKWY APT 219",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446773",
            "telephone_number": "763-221-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EQUIO",
        "first_name": "ANN MARIE",
        "middle_name": "SINDA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "K201164613103",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.