Active NPI
Anna Gustafson, FNP-C
- Family Nurse Practitioner
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R1771736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 System
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5125 | MN | MD | Chiropractor |
| R1771736 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- General Practice Physician
- St Paul, MN
- NPI 1053617795
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Minneapolis, MN
- NPI 1184661894
-
- Home Health Agency
- Minneapolis, MN
- NPI 1316985039
-
- Home Health Agency
- Minneapolis, MN
- NPI 1831909134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.