Individual provider Active NPI

Christi Ann Desautels, FNP

  • Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1497529796
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10666 Issued in MN
Practice address
555 Cedar St
Saint Paul, MN 55101-2209
Phone
(651) 266-1255
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10666 MN Primary

Addresses

Primary practice location

555 Cedar St
Saint Paul, MN 55101-2209

Mailing address

555 Cedar St
Saint Paul, MN 55101-2209
Phone (651) 266-1255

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
I20231201001745 MN Practitioner - Nurse Practitioner 5395193304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthsourceGroup PAC ID 9133199953, 16 clinicians

Practice addresses (Care Compare)

2301 Central Neave
Minneapolis, MN 55418-3709
Phone (612) 588-9411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10666MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthsource CurrentSince Sep 9, 2024 Accepting new patients
County of Ramsey CurrentSince Nov 7, 2023 Accepting new patients
Neighborhood Healthsource CurrentSince Sep 9, 2024 Accepting new patients
Neighborhood Healthsource Current Accepting new patients

Locations

3300 Fremont Ave N
Minneapolis, MN 55412
Phone (612) 588-9411

2301 Central Ave NE
Minneapolis, MN 55418
Phone (612) 588-9411

555 Cedar St
Saint Paul, MN 55101
Phone (651) 266-1200

Interoperability endpoints

  • Direct secure messaging: christi.desautels.p2@direct.ramseysocialservices.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1497529796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CEDAR ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012209",
            "telephone_number": "651-266-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CEDAR ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012209",
            "telephone_number": "651-266-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAUTELS",
        "first_name": "CHRISTI",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "10666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.