Individual provider Active NPI

Rebecca Anne Lenz, APRN

  • Gerontology Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1538573449
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2699 Issued in MN
Practice address
1700 University Ave W Ste 100
Saint Paul, MN 55104-3727
Phone
(952) 924-8117
Fax
(651) 326-9635
NPI assigned
Jun 18, 2014
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 185841-3 MN
Gerontology Nurse Practitioner 363LG0600X 2699 MN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2699 MN

Addresses

Primary practice location

1700 University Ave W Ste 100
Saint Paul, MN 55104-3727

Mailing address

1023 Linwood Ave Apt 4
Saint Paul, MN 55105-3282
Phone (651) 366-0336

Other practice location 1

701 Decatur Ave North
Ste 109
Golden Valley, MN 55427
Phone (612) 682-4912

Other names 1

  • Becca Anne Lenz Other 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
I20141114001666 MN Practitioner - Nurse Practitioner 4385866961 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

Saint Paul, MN 55105
Phone (651) 321-3864

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2699MNMDProfessional Counselor
185841-3MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Sep 14, 2014 Accepting new patients
Advanced Brain and Body Clinic PLLC CurrentSince Mar 15, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 1, 2020 Accepting new patients
Fairview Clinics CurrentSince Sep 14, 2014 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Apr 1, 2023 Accepting new patients
Merkaba Integrative Psychiatry CurrentSince Apr 14, 2025 Accepting new patients
Fairview Express Care CurrentSince Apr 1, 2023 Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706

3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637

701 Decatur Ave N
Ste 109
Minneapolis, MN 55427
Phone (763) 746-2400

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

13911 Ridgedale Dr
Ste 110
Minnetonka, MN 55305
Phone (605) 348-8000

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Ste 100
Saint Paul, MN 55104
Phone (952) 924-8117

275 4th St E
Ste 350B
Saint Paul, MN 55101
Phone (651) 321-3864

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000

Interoperability endpoints

  • Direct secure messaging: advancedbrainbody.rebeccalenz@159081.advancedmd-direct.com
  • Direct secure messaging: rlenz296502@fairview.direct-ci.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1538573449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 LINWOOD AVE APT 4",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053282",
            "telephone_number": "651-366-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "952-924-8117",
            "fax_number": "651-326-9635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Decatur Ave North",
            "address_2": "Ste 109",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "55427",
            "country_code": "US",
            "telephone_number": "612-682-4912",
            "fax_number": "612-682-4914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENZ",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "185841-3",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "2699",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECCA",
            "last_name": "LENZ",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.