Organization Active NPI

Natalis Outcomes, LLC

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1558761981
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1788 Issued in MN
Legal business name
NATALIS OUTCOMES, LLC
Practice address
1821 University Ave W Ste 155
Saint Paul, MN 55104-2880
Phone
(612) 800-6500
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Peter Hoistad
Title
Director of Outreach and Intake Ser
Phone
(612) 800-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1788 MN Primary

Addresses

Primary practice location

1821 University Ave W Ste 155
Saint Paul, MN 55104-2880

Mailing address

1821 University Ave W Ste 155
Saint Paul, MN 55104-2880
Phone (612) 800-6500

Other identifiers 1

IdentifierTypeStateIssuer
01B55NAOtherMNBLUE CROSS INTERNAL REFERENCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200402001085 MN Part B Supplier - Clinic/Group Practice 1557790144 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

855 Village Center Dr
Saint Paul, MN 55127
Phone (651) 232-1978

1821 University Ave W
Ste 155
Saint Paul, MN 55104
Phone (612) 800-6500

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1558761981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 155",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042880",
            "telephone_number": "612-800-6500",
            "fax_number": "612-800-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 155",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042880",
            "telephone_number": "612-800-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIS OUTCOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "HOISTAD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR OF OUTREACH AND INTAKE SER",
        "authorized_official_telephone_number": "612-800-6500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "1788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INTERNAL REFERENCE NUMBER",
            "identifier": "01B55NA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.