Active NPI
Meagan Sorensen, FNP
- Family Medicine Physician
- Minneapolis, MN
National Provider Identifier
1821877713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10777
- Practice address
- 825 Nicollet Mall Ste 556
Minneapolis, MN 55402-2603 - Phone
- (844) 670-2273
- Fax
- (833) 471-4119
- NPI assigned
- Sep 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R43760 | ND | |
| Family Medicine Physician | 207Q00000X | 10777 | MN | Primary |
Addresses
Primary practice location
825 Nicollet Mall Ste 556
Minneapolis, MN 55402-2603
Mailing address
825 Nicollet Mall Ste 556
Minneapolis, MN 55402-2603
Phone (844) 670-2273
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R43760 | ND | MD | Family Medicine Physician |
Interoperability endpoints
- meagan.sorensen.1@26566.direct.athenahealth.com
- meagan.sorensen@292123710390276.direct.elationemr.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1821877713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL STE 556",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022603",
"telephone_number": "844-670-2273",
"fax_number": "833-471-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL STE 556",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022603",
"telephone_number": "844-670-2273",
"fax_number": "833-471-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "MEAGAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-28",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "R43760",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "10777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.