Active NPI
Angela J Klein, BSN, CNP
- Adult Health Nurse Practitioner
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9419
- Practice address
- 2800 Campus Dr Ste 10
Plymouth, MN 55441-8812 - Phone
- (763) 398-2215
- Fax
- (651) 342-1428
- NPI assigned
- Aug 18, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9419 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 9419 | MN | |
| Primary Care Nurse Practitioner | 363LP2300X | 9419 | MN | |
| Adult Health Nurse Practitioner | 363LA2200X | 9419 | MN | Primary |
Addresses
Primary practice location
2800 Campus Dr Ste 10
Plymouth, MN 55441-8812
Mailing address
2800 Campus Dr Ste 10
Plymouth, MN 55441-8812
Phone (763) 398-4400
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3366 Oakdale Ave N
Suite 401
Robbinsdale, MN 55422-2986
Phone (763) 520-2940
Hospital & facility affiliations
- North Memorial Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9419 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| Respiratory Consultants PA | Current | Accepting new patients |
Locations
2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
3366 Oakdale Ave N
Ste 401
Robbinsdale, MN 55422
Phone (763) 398-6383
3366 Oakdale Ave N
Ste 605
Robbinsdale, MN 55422
Phone (612) 561-5986
Interoperability endpoints
- aklein201820@direct.northmemorial.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.
-
- Pulmonary Disease Physician
- Robbinsdale, MN
- NPI 1356439277
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Hospitalist Physician
- Robbinsdale, MN
- NPI 1518983634
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1841918596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 CAMPUS DR STE 10",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554418812",
"telephone_number": "763-398-4400",
"fax_number": "651-342-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 CAMPUS DR STE 10",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554418812",
"telephone_number": "763-398-2215",
"fax_number": "651-342-1428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ANGELA",
"middle_name": "J",
"credential": "BSN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "9419",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "9419",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "9419",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "9419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.
- 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.