Active NPI
Paola Mora, FNP-C
- Family Nurse Practitioner
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7000
- Practice address
- 9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841 - Phone
- (763) 780-9155
- Fax
- (763) 236-1128
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7000 | MN | Primary |
Addresses
Primary practice location
9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Mailing address
9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pmora399291@excellian.direct.allina.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-7130
9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7000 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
755 Crossroads Campus Dr NE
Buffalo, MN 55313
Phone (763) 684-6300
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610
280 Smith Ave N
Ste 700
Saint Paul, MN 55102
Phone (651) 241-3535
5565 Blaine Ave
South St Paul, MN 55076
Phone (651) 241-9400
1155 County Road E E
Ste 100
Vadnais Heights, MN 55110
Phone (651) 241-9200
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- pmora399291@excellian.direct.allina.com
Organizations & group practices 7
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.
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- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Clinic/Center
- St Paul, MN
- NPI 1518173319
-
- Urgent Care Clinic/Center
- Coon Rapids, MN
- NPI 1649886565
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1770125965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9055 SPRINGBROOK DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335841",
"telephone_number": "763-780-9155",
"fax_number": "763-236-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9055 SPRINGBROOK DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335841",
"telephone_number": "763-780-9155",
"fax_number": "763-236-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "PAOLA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2023-06-07",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "7000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pmora399291@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "9055 Springbrook Dr NW",
"city": "Coon Rapids",
"state": "MN",
"country_code": "US",
"postal_code": "554335841",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.