Active NPI
Georgeanna Dul Knutson, CNP
- Nurse Practitioner
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R-115788-4
- Practice address
- 1900 Centracare Cir
Suite 500
Saint Cloud, MN 56303-5000 - Phone
- (320) 229-5099
- Fax
- (320) 229-5171
- NPI assigned
- Oct 1, 2006
- Last updated
- Sep 12, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R-115788-4 | MN | Primary |
Addresses
Primary practice location
1900 Centracare Cir
Suite 500
Saint Cloud, MN 56303-5000
Mailing address
1900 Centracare Cir
Suite 500
Saint Cloud, MN 56303-5000
Phone (320) 229-5099
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 Central Ave S
Milaca, MN 56353-1123
Phone (218) 824-5027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-115788-4 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Select Urgent Care LLC | Current | Accepting new patients | |
| Fairview Health Services | Nurse Practitioner | Current | Accepting new patients |
| Select Therapy, Inc. | Past | Accepting new patients | |
| Lakeside Medical Center, Inc. | Past | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
5836 Blaine Ave
Inver Grove Heights, MN 55076
Phone (651) 455-0535
190 Central Ave S
Milaca, MN 56353
Phone (224) 487-4368
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
129 6th Ave SE
Pine City, MN 55063
Phone (320) 629-2542
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
3300 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 520-2000
Interoperability endpoints
- georgeanna.knutson.1@28265.direct.athenahealth.com
- https://api.platform.athenahealth.com/28265/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Clinic/Center
- Baxter, MN
- NPI 1952063158
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Skilled Nursing Facility
- Pine City, MN
- NPI 1043200355
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
-
- Physical Therapist
- Baxter, MN
- NPI 1033103742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1811080104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CENTRACARE CIR",
"address_2": "SUITE 500",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563035000",
"telephone_number": "320-229-5099",
"fax_number": "320-229-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CENTRACARE CIR",
"address_2": "SUITE 500",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563035000",
"telephone_number": "320-229-5099",
"fax_number": "320-229-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "GEORGEANNA",
"middle_name": "DUL",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R-115788-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.