Danielle Nicole Anderson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Maple Grove, MN
NPI 1629778014 · NPPES record last updated Apr 7, 2023
Key facts
- NPI
- 1629778014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9994 (MN)
- Practice address
- 9645 Grove Cir N Ste 200
Maple Grove, MN 55369-2684 - Phone
- (763) 201-8191
- Fax
- (763) 201-8192
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Interventional Spine and Pain Physicians PA
Practice addresses (Care Compare)
9645 Grove Cir N
Suite 200
Maple Grove, MN 55369-2684
Phone (763) 201-8191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230324000912 | MN | Practitioner - Nurse Practitioner | 2163896671 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Spine and Pain Physicians, PA | Current |
Accepting new patients | |
| Anesthesia Associates, PLLC | Past |
Accepting new patients |
Locations
14000 Nicollet Ave
Ste 104
Burnsville, MN 55337
3000 Hundertmark Rd
Ste 250
Chaska, MN 55318
Phone (507) 625-7246
320 Coon Rapids Blvd NW
Ste 100
Coon Rapids, MN 55433
Phone (952) 908-2580
320 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone (763) 201-8091
916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172
7700 France Ave S
Ste 260
Edina, MN 55435
9600 Upland Ln N
Ste 160
Maple Grove, MN 55369
9645 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 300-2193
1856 Beam Ave
#100
Maplewood, MN 55109
1601 Saint Francis Ave
Ste 200
Shakopee, MN 55379
Phone (952) 428-2001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9994 | MN | Yes |
Addresses
Primary practice location
9645 Grove Cir N Ste 200
Maple Grove, MN 55369-2684
Mailing address
9645 Grove Cir N Ste 200
Maple Grove, MN 55369-2684
Phone (763) 201-8191
Other providers in Maple Grove, MN
- Ams Express LLC
- Ams Minn PLLC
- Amy J. Finn, Marriage and Family Therapy, LLC
- Christian Todd Anderson
- Christine Helen Anderson
- Gerald Anderson
- Jack David Anderson
- Jennifer Anderson
- Jordan Lillian Anderson
- Joy Nieves Anderson
All providers in Maple Grove, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.