Active NPI
Anna Rosenberg, FNP
- Family Nurse Practitioner
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4364
- Practice address
- 1001 E Superior St Ste L401
Duluth, MN 55802-2207 - Phone
- (218) 249-7960
- NPI assigned
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Golden Valley, MN
- NPI 1992176499
MN
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cloquet, MN
- NPI 1053772087
Hospital & facility affiliations 33
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hermantown, MN
- NPI 1679078604
-
- Critical Access Hospital Clinic/Center
- Moose Lake, MN
- NPI 1275102048
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
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 CorporationLegacy Medical LLC
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
- Caringedge Healthcare of Hermantown LLC
- Aspirus St. Luke'S at Home - Home Care - Duluth
- St Lukes Hospital
- Essentia Health Moose Lake
- Aspirus Lake View Hospital
- Essentia Health Duluth
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160219001164 | MN | Practitioner - Nurse Practitioner | 6204131840 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fond Du Lac Reservation Business Committee | Current | Accepting new patients | |
| Legacy Medical LLC | Current | Accepting new patients | |
| Twin Cities Physicians Professional Corporation | Current | Accepting new patients | |
| Fond Du Lac Reservation Business Committee | Current | 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) 716-2466
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCIBCD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4364 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPPES NPI Registry- Anna Dumke
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2021.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.