Individual provider Active NPI

Christopher Douglas Elness, APRN CNP

  • Family Nurse Practitioner
  • Monticello, MN
National Provider Identifier
1649622200
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP #4580 Issued in MN
Practice address
1001 Hart Blvd Ste 100
Monticello, MN 55362-8929
Phone
(763) 295-2921
Fax
(763) 271-3807
NPI assigned
Jul 7, 2016
Last updated
May 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 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 CNP #4580 MN Primary

Addresses

Primary practice location

1001 Hart Blvd Ste 100
Monticello, MN 55362-8929

Mailing address

1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313

Other practice location 1

1200 6th Ave N
Saint Cloud, MN 56303-2735
Phone (320) 240-2836

Other practice location 2

11091 Jason Ave NE
Albertville, MN 55301-4699
Phone (763) 684-8300

Other practice location 3

1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address celness154481@direct.northmemorial.com
Direct Messaging Address celness154481@direct.northmemorial.com
Direct Messaging Address celness154481@direct.northmemorial.com

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
I20161118000658 MN Practitioner - Nurse Practitioner 8426337205 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-6353

919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP #4580MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stellis Health, PA CurrentSince Apr 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Stellis Health, PA Current Accepting new patients
Stellis Health, PA CurrentSince Apr 1, 2022 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Sep 15, 2021 Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
Fairview Clinics CurrentSince Sep 15, 2021 Accepting new patients
Fairview Express Care CurrentSince Jun 24, 2017 Accepting new patients
Fairview Health Services CurrentSince Jun 24, 2017 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients

Locations

11091 Jason Ave NE
Albertville, MN 55301
Phone (763) 315-5000

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

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

290 Main St NW
Ste 100
Elk River, MN 55330
Phone (763) 241-0373

1700 Highway 25 N
Hanover, MN 55313
Phone (763) 682-1313

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1001 Hart Blvd
Ste 100
Monticello, MN 55362
Phone (763) 295-2921

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

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

919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

Interoperability endpoints

  • Direct secure messaging: celness154481@direct.northmemorial.com
  • Direct secure messaging: celness300380@direct.centracare.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1649622200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 25 N",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131930",
            "telephone_number": "763-682-1313",
            "fax_number": "763-581-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HART BLVD STE 100",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628929",
            "telephone_number": "763-295-2921",
            "fax_number": "763-271-3807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 6th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563032735",
            "country_code": "US",
            "telephone_number": "320-240-2836",
            "fax_number": "320-656-7115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11091 Jason Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "MN",
            "postal_code": "553014699",
            "country_code": "US",
            "telephone_number": "763-684-8300",
            "fax_number": "763-581-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Highway 25 N",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131930",
            "country_code": "US",
            "telephone_number": "763-682-1313",
            "fax_number": "763-581-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELNESS",
        "first_name": "CHRISTOPHER",
        "middle_name": "DOUGLAS",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP #4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celness154481@direct.northmemorial.com",
            "affiliation": "N",
            "address_1": "1001 Hart Blvd Ste 100",
            "city": "Monticello",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553628929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celness154481@direct.northmemorial.com",
            "affiliation": "N",
            "address_1": "11091 Jason Ave NE",
            "city": "Albertville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553014699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celness154481@direct.northmemorial.com",
            "affiliation": "N",
            "address_1": "1700 Highway 25 N",
            "city": "Buffalo",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553131930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

Verify at the official NPI Registry.