Individual provider Active NPI

Kristen Anderson, AGNP-BC

  • Adult Health Nurse Practitioner
  • Hopkins, MN
National Provider Identifier
1891195459
Registry record updated Sep 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R 202784-5 Issued in MN
Practice address
1015 2ND St NE Apt 110
Hopkins, MN 55343-8342
Phone
(218) 256-1671
NPI assigned
Sep 1, 2014
Last updated
Sep 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R 202784-5 MN Primary
Gerontology Nurse Practitioner 363LG0600X R 202784-5 MN

Addresses

Primary practice location

1015 2ND St NE Apt 110
Hopkins, MN 55343-8342

Mailing address

1015 2ND St NE Apt 110
Hopkins, MN 55343-8342
Phone (218) 256-1671

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141114001693 MN Practitioner - Nurse Practitioner 4284856865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
60.43
Promoting interoperability
83
Improvement activities
40
Cost
79.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3527MNMDRegistered Dietitian
R 202784-5MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Lifespark Medical Group, PA Adult Health CurrentSince Jan 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients

Locations

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213

Interoperability endpoints

  • Direct secure messaging: kristen.anderson.1@15699.direct.athenahealth.com

Organizations & group practices 3

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": "1409529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409529600000",
    "number": "1891195459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 2ND ST NE APT 110",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438342",
            "telephone_number": "218-256-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 2ND ST NE APT 110",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438342",
            "telephone_number": "218-256-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTEN",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-01",
        "last_updated": "2014-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R 202784-5",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "R 202784-5",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

Verify at the official NPI Registry.