Individual provider Active NPI

Brian Eric Unglaub, ANP GNP

  • Nurse Practitioner
  • Edina, MN
National Provider Identifier
1770564932
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R143562-9 Issued in MN
Practice address
6545 France Ave S Ste 210
Edina, MN 55435-2281
Phone
(952) 928-2900
Fax
(952) 928-2944
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R 143562 9 MN
Nurse Practitioner 363L00000X R143562-9 MN Primary

Addresses

Primary practice location

6545 France Ave S Ste 210
Edina, MN 55435-2281

Mailing address

2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001
Phone (651) 602-5335

Other identifiers 9

IdentifierTypeStateIssuer
P00181148OtherRR MEDICARE
132656OtherU CARE
328604500OtherMEDICAL ASSISTANCE MA
387L4UNOtherBLUE CROSS BLUE SHIELD
0407066OtherMEDICA HEALTH PLANS
2258979OtherARAZ GROUP AMERICAS PPO
495R2UN PLOtherBLUE CROSS BLUE SHIELD
1042810OtherPREFERRED ONE
HP49290OtherHEALTH PARTNERS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000397 MN Practitioner - Nurse Practitioner 8426957507 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians
Minnesota Oncology Hematology PAGroup PAC ID 6709799752, 131 clinicians

Practice addresses (Care Compare)

1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700

6545 France Ave S
Suite 210
Edina, MN 55435-2281
Phone (952) 928-2900

Hospital & facility affiliations

  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • Glencoe Regional Health Hospital, Glencoe, MN, CCN 241355
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R143562-9MNMDNurse Practitioner
R 143562 9MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health LLC Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Minnesota Oncology Hematology, PA Adult Health Current Accepting new patients
Carris Health LLC CurrentSince Jun 1, 2024 Accepting new patients
Glencoe Regional Health Services CurrentSince Jul 29, 2024 Accepting new patients
Minnesota Oncology Hematology PA Nurse Practitioner CurrentSince Jan 30, 2017 Accepting new patients
Glencoe Regional Health Services CurrentSince Jul 29, 2024 Accepting new patients
St. Cloud Hospital Current Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Jan 30, 2017 Accepting new patients
Glencoe Regional Health Services Past Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients
Minnesota Oncology Hematology, PA Nurse Practitioner Past Accepting new patients
Pacific Oncology PC Past Accepting new patients
Minnesota Oncology Hematology PA Nurse Practitioner PastSince Jan 14, 2024 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

110105 Pioneer Trl W
Chaska, MN 55318
Phone (952) 361-5800

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900

480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414

Interoperability endpoints

  • Direct secure messaging: brian.unglaub@moh.ikm.direct-ci.com
  • Direct secure messaging: bunglaub92304@excellian.direct.allina.com
  • Direct secure messaging: bunglaub186031@direct.centracare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1770564932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142001",
            "telephone_number": "651-602-5335",
            "fax_number": "651-665-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352281",
            "telephone_number": "952-928-2900",
            "fax_number": "952-928-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGLAUB",
        "first_name": "BRIAN",
        "middle_name": "ERIC",
        "credential": "ANP GNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R 143562 9",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R143562-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00181148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "132656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE MA",
            "identifier": "328604500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "387L4UN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HEALTH PLANS",
            "identifier": "0407066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ GROUP AMERICAS PPO",
            "identifier": "2258979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "495R2UN PL",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1042810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP49290",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.