Individual provider Active NPI

Victoria J Upson, APRN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Waconia, MN
National Provider Identifier
1831470061
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7115 Issued in MN
Practice address
540 E 1St St
Waconia, MN 55387-1600
Phone
(952) 442-4437
Fax
(952) 442-3084
NPI assigned
Sep 1, 2011
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2258322 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7115 MN Primary

Addresses

Primary practice location

540 E 1St St
Waconia, MN 55387-1600

Mailing address

135 Colorado Street East
St. Paul, MN 55107
Phone (651) 489-7740

Other practice location 1

1601 Washington St
Boston, MA 02118-1951
Phone (617) 425-2000 ext. 7618

Other practice location 2

725 North St
Pittsfield, MA 01201-4124
Phone (413) 447-2000 ext. 2167

Other practice location 3

135 Colorado Street East
St. Paul, MN 55107
Phone (651) 489-7740

Other identifiers 1

IdentifierTypeStateIssuer
RN2258322OtherMAMA LICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2258322MAMDPsychiatric/Mental Health Nurse Practitioner
7115MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc Current Accepting new patients

Locations

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • Direct secure messaging: victoriaupson@bfs.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1831470061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COLORADO STREET EAST",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55107",
            "telephone_number": "651-489-7740",
            "fax_number": "651-489-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E 1ST ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871600",
            "telephone_number": "952-442-4437",
            "fax_number": "952-442-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021181951",
            "country_code": "US",
            "telephone_number": "617-425-2000 x7618",
            "fax_number": "617-425-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 North St",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012014124",
            "country_code": "US",
            "telephone_number": "413-447-2000 x2167",
            "fax_number": "413-447-2176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Colorado Street East",
            "address_purpose": "LOCATION",
            "city": "St. Paul",
            "state": "MN",
            "postal_code": "55107",
            "country_code": "US",
            "telephone_number": "651-489-7740",
            "fax_number": "651-489-6458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPSON",
        "first_name": "VICTORIA",
        "middle_name": "J",
        "credential": "APRN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2258322",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE#",
            "identifier": "RN2258322",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.