Individual provider Active NPI

Anna Gustafson, FNP-C

  • Family Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1558890707
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R1771736 Issued in MN
Practice address
8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone
(651) 241-3000
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R1771736 MN Primary

Addresses

Primary practice location

8675 Valley Creek Rd
Woodbury, MN 55125-2337

Mailing address

20600 Rush Meadow LN
Rogers, MN 55374-9718
Phone (612) 437-2427

Other practice location 1

303 Catlin St
Buffalo, MN 55313-1947
Phone (763) 682-5225

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
I20170809001137 MN Practitioner - Nurse Practitioner 5092086033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

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
5125MNMDChiropractor
R1771736MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Dec 1, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Aug 30, 2023 Accepting new patients
Allina Health System CurrentSince Sep 2, 2017 Accepting new patients
Allina Health System CurrentSince Sep 2, 2017 Accepting new patients
Allina Health System Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

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

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

1540 Lake St S
Forest Lake, MN 55025
Phone (651) 464-7100

1880 N Frontage Rd
Hastings, MN 55033
Phone (651) 438-1800

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

1221 W Lake St
Ste 201
Minneapolis, MN 55408
Phone (612) 270-9652

825 Nicollet Mall
Ste 300
Minneapolis, MN 55402
Phone (612) 333-8883

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

9300 Noble Pkwy N
Minneapolis, MN 55443
Phone (763) 236-5300

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

2855 Campus Dr
Ste 400
Plymouth, MN 55441
Phone (612) 577-7400

7400 33rd St N
Ste 100
Saint Paul, MN 55128
Phone (651) 241-9240

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

1455 Saint Francis Ave
Ste 1000
Shakopee, MN 55379
Phone (952) 428-2099

4194 Lexington Ave N
Shoreview, MN 55126
Phone (651) 483-5461

5565 Blaine Ave
South St Paul, MN 55076
Phone (651) 241-9400

150 Emerson Ave E
West St Paul, MN 55118
Phone (651) 241-1800

8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000

Interoperability endpoints

  • Direct secure messaging: agustafson65700@excellian.direct.allina.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558890707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20600 RUSH MEADOW LN",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749718",
            "telephone_number": "612-437-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 VALLEY CREEK RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252337",
            "telephone_number": "651-241-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Catlin St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131947",
            "country_code": "US",
            "telephone_number": "763-682-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "ANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1771736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.