NPIMap

Individual provider Active NPI

Anna Rosenberg, FNP

  • Family Nurse Practitioner
  • Duluth, MN
National Provider Identifier
1700243243
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4364 Issued in MN
Practice address
1001 E Superior St Ste L401
Duluth, MN 55802-2207
Phone
(218) 249-7960
NPI assigned
Jan 27, 2016
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 4364 MN Primary

Addresses

Primary practice location

1001 E Superior St Ste L401
Duluth, MN 55802-2207

Mailing address

1001 E Superior St Ste L401
Duluth, MN 55802-2207
Phone (218) 249-7960

Other practice location 1

1010 4th St
Two Harbors, MN 55616-1200
Phone (218) 834-7700

Other names 1

  • Anna Dumke Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@slk.direct.slhduluth.com

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
I20160219001164 MN Practitioner - Nurse Practitioner 6204131840 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Cities Physicians Professional CorporationGroup PAC ID 9830499763, 66 clinicians
Legacy Medical LLCGroup PAC ID 0648698290, 18 clinicians

Practice addresses (Care Compare)

1415 Lilac Dr N
Suite 190
Golden Valley, MN 55422-4544
Phone (763) 267-8701

4195 Westberg Rd
Apt 436
Hermantown, MN 55811-3888
Phone (701) 516-4637

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4364MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fond Du Lac Reservation Business Committee CurrentSince Jan 29, 2016 Accepting new patients
Fond Du Lac Reservation Business Committee CurrentSince Jan 29, 2016 Accepting new patients
Legacy Medical LLC CurrentSince Feb 6, 2023 Accepting new patients
Twin Cities Physicians Professional Corporation CurrentSince Jan 27, 2025 Accepting new patients
Legacy Primary Care PLLC Past Accepting new patients

Locations

14211 Firewood Dr
Baxter, MN 56425
Phone (218) 297-1605

14890 Beaver Dam Rd
Brainerd, MN 56401
Phone (218) 297-1605

927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227

211 W 4th St
Duluth, MN 55806
Phone (218) 726-1370

608 5th Ave NW
East Grand Forks, MN 56721
Phone (218) 773-6648

1415 Lilac Dr N
Minneapolis, MN 55422
Phone (763) 267-8701

1415 Lilac Dr N
Ste 190
Minneapolis, MN 55422
Phone (763) 267-8701

600 S 2nd St
Ste 200
Bismarck, ND 58504
Phone (701) 757-5463

2100 S Columbia Rd
Ste 114
Grand Forks, ND 58201
Phone (701) 757-2225

4001 Derby Ln
Rapid City, SD 57701
Phone (605) 491-2832

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCIBCD

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1700243243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E SUPERIOR ST STE L401",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022207",
            "telephone_number": "218-249-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E SUPERIOR ST STE L401",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022207",
            "telephone_number": "218-249-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 4th St",
            "address_purpose": "LOCATION",
            "city": "Two Harbors",
            "state": "MN",
            "postal_code": "556161200",
            "country_code": "US",
            "telephone_number": "218-834-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@slk.direct.slhduluth.com",
            "affiliation": "N",
            "address_1": "1001 E Superior St Ste L401",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558022207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "DUMKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.