Individual provider Active NPI

Rebekah Agnes Ann Fraser, FNP-C

  • Nurse Practitioner
  • Eagan, MN
National Provider Identifier
1508131889
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP 0831 Issued in MN
Practice address
4420 Wilderness Run Cir
Eagan, MN 55123-1834
Phone
(952) 240-3163
NPI assigned
Mar 20, 2012
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP 0831 MN Primary
Family Nurse Practitioner 363LF0000X 831 MN

Addresses

Primary practice location

4420 Wilderness Run Cir
Eagan, MN 55123-1834

Mailing address

4420 Wilderness Run Cir
Eagan, MN 55123-1834

Other names 1

  • Rebekah Agnes Ann Okoro - Morris Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmorris212093@excellian.direct.allina.com Direct

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
I20120611000429 MN Practitioner - Nurse Practitioner 0143484709 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 87 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP 0831MNMDNurse Practitioner
831MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince May 25, 2012 Accepting new patients
Allina Health System Current Accepting new patients
St Francis Regional Medical Center CurrentSince Sep 3, 2018 Accepting new patients
St. Francis Regional Medical Center CurrentSince Sep 3, 2018 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Health Services CurrentSince May 25, 2012 Accepting new patients
Allina Health System CurrentSince Jul 8, 2018 Accepting new patients
Allina Health System CurrentSince Jul 8, 2018 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1110 Yankee Doodle Rd
Saint Paul, MN 55121
Phone (651) 454-3970

6150 Egan Dr
Savage, MN 55378
Phone (952) 228-2552

Interoperability endpoints

  • Direct secure messaging: rmorris212093@excellian.direct.allina.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1508131889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 WILDERNESS RUN CIR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 WILDERNESS RUN CIR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231834",
            "telephone_number": "952-240-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "REBEKAH",
        "middle_name": "AGNES ANN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP 0831",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmorris212093@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "4420 Wilderness Run Cir",
            "city": "Eagan",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551231834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "OKORO - MORRIS",
            "middle_name": "AGNES ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.