NPIMap

Individual provider Active NPI

Anna Charlotte Greiner, P.A.-C

  • Physician Assistant
  • Superior, WI
National Provider Identifier
1790736981
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4254 Issued in WI
Practice address
109 N 28TH St E
Superior, WI 54880
Phone
(715) 395-3900
Fax
(715) 395-3936
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12439 MN
Physician Assistant 363A00000X 4254 WI Primary

Addresses

Primary practice location

109 N 28TH St E
Superior, WI 54880

Mailing address

109 N 28TH St E
Superior, WI 54880-6548
Phone (715) 395-3900

Other practice location 1

619 W Central Entrance
Duluth, MN 55811-5448
Phone (218) 249-4987

Other practice location 2

619 W Central Entrance
Duluth, MN 55811-5448
Phone (218) 249-4987

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@slk.direct.slhduluth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829002098 MN Practitioner - Physician Assistant 2769496280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

1000 E 1St St
Duluth, MN 55805-2297

1011 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7000

1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Duluth, MN, CCN 240047
  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019
  • Aspirus Lake View Hospital Hospital, Two Harbors, MN, CCN 241308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12439MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth CurrentSince Jul 31, 2017 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Jul 31, 2017 Accepting new patients
Solstice Medicine & Wellness, LLC Past Accepting new patients
Chest Medicine Fairbanks,P.C Past Accepting new patients
Midnight Sun Family Medicine, PC Past Accepting new patients
St. Luke'S Hospital of Duluth Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

1000 E 1st St
Ste 204
Duluth, MN 55805
Phone (218) 249-5203

1400 Woodland Ave
Duluth, MN 55803
Phone (218) 249-8800

4702 Grand Ave
Duluth, MN 55807
Phone (218) 249-6800

619 W Central Entrance
Duluth, MN 55811
Phone (218) 249-4987

109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900

Interoperability endpoints

  • Direct secure messaging: agreiner237255@direct.aspirus.org

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.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790736981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N 28TH ST E",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548806548",
            "telephone_number": "715-395-3900",
            "fax_number": "715-395-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 28TH ST E",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "54880",
            "telephone_number": "715-395-3900",
            "fax_number": "715-395-3936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 W Central Entrance",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558115448",
            "country_code": "US",
            "telephone_number": "218-249-4987",
            "fax_number": "218-249-4989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 W Central Entrance",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558115448",
            "country_code": "US",
            "telephone_number": "218-249-4987",
            "fax_number": "218-249-4989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREINER",
        "first_name": "ANNA",
        "middle_name": "CHARLOTTE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12439",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@slk.direct.slhduluth.com",
            "affiliation": "N",
            "address_1": "109 N 28th St E",
            "city": "Superior",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

Verify at the official NPI Registry.