Individual provider Active NPI

Laura Utz Anderton, NP

  • Nurse Practitioner
  • Plymouth, MN
National Provider Identifier
1548096019
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11505 Issued in MN
Practice address
2 Carlson Pkwy N Ste 100
Plymouth, MN 55447-4467
Phone
(952) 473-1286
Fax
(952) 473-7281
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 11505 MN Primary

Addresses

Primary practice location

2 Carlson Pkwy N Ste 100
Plymouth, MN 55447-4467

Mailing address

2 Carlson Pkwy N Ste 100
Plymouth, MN 55447-4467
Phone (952) 473-1286

Other practice location 1

4100 W 50th St
Edina, MN 55424-1200
Phone (952) 929-8888

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
I20240924002780 MN Practitioner - Nurse Practitioner 5597206052 Reassigns benefits to 1 organization

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
United Skin Specialists LTDGroup PAC ID 0446558993, 15 clinicians

Practice addresses (Care Compare)

2 Carlson Pkwy N
Suite 100
Plymouth, MN 55447-4467
Phone (952) 473-1286

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Skin Specialists Illinois LTD, PC CurrentSince Aug 1, 2026 Accepting new patients
Southwest Dermatology Specialists. LTD Current Accepting new patients
United Skin Specialists, LTD PC CurrentSince Sep 1, 2024 Accepting new patients
Skin Specialists, LTD. Past Accepting new patients

Locations

4107 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-0031

4100 W 50th St
Minneapolis, MN 55424
Phone (952) 929-8888

2 Carlson Pkwy N
Ste 100
Plymouth, MN 55447
Phone (952) 473-1286

6425 Nicollet Ave
Ste 202
Richfield, MN 55423
Phone (612) 338-0711

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

Interoperability endpoints

  • Direct secure messaging: laura.anderton@schweigerderm.emadirect.md

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1548096019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARLSON PKWY N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474467",
            "telephone_number": "952-473-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARLSON PKWY N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474467",
            "telephone_number": "952-473-1286",
            "fax_number": "952-473-7281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 W 50th St",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554241200",
            "country_code": "US",
            "telephone_number": "952-929-8888",
            "fax_number": "952-929-9669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERTON",
        "first_name": "LAURA",
        "middle_name": "UTZ",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "11505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.