Individual provider Active NPI

Jo Anne Andresini

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1750402848
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R083297 Issued in MD
Practice address
333 Washington Ave N
Ste5000
Minneapolis, MN 55401-1377
Phone
(612) 659-7111
Fax
(612) 659-7101
NPI assigned
Apr 3, 2007
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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 R083297 MD Primary

Addresses

Primary practice location

333 Washington Ave N
Ste5000
Minneapolis, MN 55401-1377

Mailing address

333 Washington Ave N
Ste5000
Minneapolis, MN 55401-1377
Phone (612) 659-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070423000547 MD Practitioner - Nurse Practitioner 8729183561 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R083297MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Pain Specialists, LLC CurrentSince Dec 23, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8322 Bellona Ave
Ste 330
Towson, MD 21204
Phone (410) 825-6965

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1750402848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N",
            "address_2": "STE5000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011377",
            "telephone_number": "612-659-7111",
            "fax_number": "612-659-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N",
            "address_2": "STE5000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011377",
            "telephone_number": "612-659-7111",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESINI",
        "first_name": "JO ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R083297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.