Active NPI
Annika Peterson, APRN, CNP
- Gerontology Nurse Practitioner
- Roseville, MN
National Provider Identifier
1790289064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5627
- Practice address
- 2845 Hamline Ave N
Roseville, MN 55113-7127 - Phone
- (651) 631-6407
- Fax
- (651) 631-6343
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5627 | MN | Primary |
Addresses
Primary practice location
2845 Hamline Ave N
Roseville, MN 55113-7127
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 631-6407
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 |
|---|---|---|---|---|
| I20180410002737 | MN | Practitioner - Nurse Practitioner | 3375806045 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Minneapolis Heart Institute at Ridgeview Heart Center, LLC
Practice addresses (Care Compare)
424 W Hwy 5
Waconia, MN 55387-1723
Phone (952) 442-7843
500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-7843
Hospital & facility affiliations
- Ridgeview Medical Center
- Abbott Northwestern Hospital
- Ridgeview Sibley Medical Center
- St Francis Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.27 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
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
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
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 | |
| Minneapolis Heart Institute at Ridgeview Heart Center, LLC | Current | Accepting new patients |
Locations
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
424 W State Highway 5
Waconia, MN 55387
Phone (952) 442-4461
Interoperability endpoints
- apeterson99248@excellian.direct.allina.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Waconia, MN
- NPI 1871780478
MN
-
- Radiology Clinic/Center
- Edina, MN
- NPI 1871006700
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1790289064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 HAMLINE AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551137127",
"telephone_number": "651-631-6407",
"fax_number": "651-631-6343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 HAMLINE AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551137127",
"telephone_number": "651-631-6407",
"fax_number": "651-631-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ANNIKA",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "5627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.