NPIMap

Individual provider Active NPI

Amy Cooley, FNP

  • Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1619376860
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5074 Issued in MN
Practice address
800 E 28TH St # H2100
Minneapolis, MN 55407
Phone
(612) 863-3900
NPI assigned
Aug 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0993125-NP CO
Nurse Practitioner 363L00000X 5074 MN Primary

Addresses

Primary practice location

800 E 28TH St # H2100
Minneapolis, MN 55407

Mailing address

800 E 28TH St # H2100
Minneapolis, MN 55407-3723
Phone (612) 863-3900

Other practice location 1

500 Eldorado Blvd
Suite 6250
Broomfield, CO 80021-3408
Phone (303) 272-0750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aschmitz398655@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170608002390 MN Practitioner - Nurse Practitioner 5597071902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

424 W Hwy 5
Waconia, MN 55387-1723
Phone (952) 442-7843

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-7843

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 262-8425

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
5074MNMDPediatric Physical Therapist
APN.0993125-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Fairview Health Services CurrentSince May 1, 2017 Accepting new patients
Allina Health System CurrentSince Apr 24, 2018 Accepting new patients
Minneapolis Heart Institute at Ridgeview Heart Center, LLC CurrentSince Aug 15, 2018 Accepting new patients
Allina Health System CurrentSince Apr 24, 2018 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince May 1, 2017 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

35 State Ave
Ste 1
Faribault, MN 55021
Phone (507) 497-3528

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

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

800 E 28th St
#H2100
Minneapolis, MN 55407
Phone (612) 775-3030

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

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

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

424 W State Highway 5
Waconia, MN 55387
Phone (952) 442-4461

Organizations & group practices 10

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 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1619376860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST # H2100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-863-3900",
            "fax_number": "612-775-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST # H2100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-863-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Eldorado Blvd",
            "address_2": "Suite 6250",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800213408",
            "country_code": "US",
            "telephone_number": "303-272-0750",
            "fax_number": "303-318-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "AMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993125-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "5074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aschmitz398655@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "800 E 28th St # H2100",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.