Individual provider Active NPI

Anya Oak, RN, CNP

  • Women's Health Nurse Practitioner
  • Maple Grove, MN
National Provider Identifier
1679295612
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
9492 Issued in MN
Practice address
9825 Hospital Dr Ste 205
Maple Grove, MN 55369-4480
Phone
(763) 587-7000
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 9492 MN Primary

Addresses

Primary practice location

9825 Hospital Dr Ste 205
Maple Grove, MN 55369-4480

Mailing address

29663 295TH LN
Lindstrom, MN 55045-8077
Phone (218) 849-6401

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
I20221122000853 MN Practitioner - Nurse Practitioner 6406224534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Minnesota Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

9825 Hospital Dr
Suite 205
Maple Grove, MN 55369-4480
Phone (763) 587-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9492MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OBGYN of Minnesota PLLC CurrentSince Dec 1, 2024 Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Dec 1, 2022 Accepting new patients
Metropolitan Obstetrics & Gynecology Past Accepting new patients

Locations

11855 Ulysses St NE
Ste 240
Blaine, MN 55434

11855 Ulysses St NE
Ste 210
Blaine, MN 55434
Phone (763) 587-7000

9825 Hospital Dr
Ste 205
Maple Grove, MN 55369
Phone (763) 587-7000

10900 Wayzata Blvd
Ste 640
Minnetonka, MN 55305

3007 Harbor Ln N
Ste 1400
Plymouth, MN 55447
Phone (763) 587-7000

1700 Rice St
Ste L
Saint Paul, MN 55113
Phone (651) 489-1328

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

Interoperability endpoints

  • Direct secure messaging: anya.oak.1@20897.direct.athenahealth.com

Organizations & group practices 3

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1679295612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29663 295TH LN",
            "city": "LINDSTROM",
            "state": "MN",
            "postal_code": "550458077",
            "telephone_number": "218-849-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694480",
            "telephone_number": "763-587-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAK",
        "first_name": "ANYA",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "9492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.