Active NPI
Natalis Outcomes, LLC
- Case Management Agency
- Saint Paul, MN
National Provider Identifier
1558761981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 1788
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01B55NA | Other | MN | BLUE CROSS INTERNAL REFERENCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Saint Paul, MN
- NPI 1649394156
-
- Psychologist
- Saint Paul, MN
- NPI 1588779292
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Paul, MN
- NPI 1730637588
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1891309969
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1124799499
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.