NPIMap

Individual provider Active NPI

Krista Jane Hultgren, GNP

  • Gerontology Nurse Practitioner
  • Crystal, MN
National Provider Identifier
1699752535
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2737 Issued in MN
Practice address
5200 Douglas Dr N
Crystal, MN 55429-3104
Phone
(888) 290-1209
Fax
(833) 973-3527
NPI assigned
Dec 30, 2005
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2737 MN
Gerontology Nurse Practitioner 363LG0600X 03242493 MN
Gerontology Nurse Practitioner 363LG0600X 2737 MN Primary

Addresses

Primary practice location

5200 Douglas Dr N
Crystal, MN 55429-3104

Mailing address

11401 Heather St NW
Coon Rapids, MN 55433-3453

Other practice location 1

11401 Heather St NW
Coon Rapids, MN 55433-3453
Phone (763) 234-3897

Other identifiers 1

IdentifierTypeStateIssuer
108443700MedicaidMN

Other names 1

  • Krista Jane Naber Former name

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
I20040107000066 MN Practitioner - Nurse Practitioner 4486553732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Herself Health MN PCGroup PAC ID 6507234820, 31 clinicians

Practice addresses (Care Compare)

5200 Douglas Dr N
Crystal, MN 55429-3104
Phone (763) 400-3628

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2737MNMDProfessional Counselor
03242493MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Herself Health MN PC CurrentSince May 5, 2025 Accepting new patients
Beacon Therapy Associates, PC CurrentSince Mar 1, 2018 Accepting new patients
Allina Health System CurrentSince Jun 1, 2013 Accepting new patients
Evercare Collaborative Solutions Inc Past Accepting new patients

Locations

11141 Zealand Ave N
Champlin, MN 55316
Phone (651) 653-0387

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

5200 Douglas Dr N
Minneapolis, MN 55429
Phone (763) 400-3628

2004 Ford Pkwy
Saint Paul, MN 55116
Phone (612) 256-8225

2550 University Ave W
Ste 180S
Saint Paul, MN 55114
Phone (651) 635-9173

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1699752535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 HEATHER ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293104",
            "telephone_number": "888-290-1209",
            "fax_number": "833-973-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11401 Heather St NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554333453",
            "country_code": "US",
            "telephone_number": "763-234-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULTGREN",
        "first_name": "KRISTA",
        "middle_name": "JANE",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "2737",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "03242493",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "2737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108443700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "NABER",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crystal, MN

Sources for this page

Verify at the official NPI Registry.