Anita Marie Handevidt, RN CNP CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

R0902409 Issued in MN

Practice address

401 West St
Jackson, MN 56143-1219

Phone

(507) 847-2423

Fax

(507) 847-2422

NPI assigned

Aug 9, 2006

Last updated

Feb 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Pipestone Counseling Center LLCGroup PAC ID 3678932092, 2 clinicians

Stepping Stone Counseling LLCGroup PAC ID 0840692018, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Pipestone Counseling Center, LLC

  • Mental Health Counselor
  • Pipestone, MN
  • NPI 1366013872
  Medicare reassignment Care Compare group NPD
• Stepping Stone Counseling, LLC

  • Community/Behavioral Health Agency
  • Windom, MN
  • NPI 1083212419
  Medicare reassignment Care Compare group NPD
• Desmoines Valley BHS

  • Clinical Nurse Specialist
  • Jackson, MN
  • NPI 1407065824
  NPD (past) Authorized official
• Southern Cities Clinic

  • General Practice Physician
  • Faribault, MN
  • NPI 1437218740
  NPD (past)
• Southern Cities Community Clinic

  • Dentist
  • Faribault, MN
  • NPI 1730630393
  NPD (past)
• Community and Family Resources

  • Substance Abuse Rehabilitation Facility
  • Fort Dodge, IA
  • NPI 1366507790
  NPD (past)
• The Richmond Center

  • Mental Health Counselor
  • Ames, IA
  • NPI 1194837286
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1891705968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S SPRING ST",
            "address_2": "PO BOX 686",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561916",
            "telephone_number": "507-283-9511",
            "fax_number": "507-283-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WEST ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431219",
            "telephone_number": "507-847-2423",
            "fax_number": "507-847-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDEVIDT",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "credential": "RN CNP CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R0902409",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MN",
            "license": "R0902409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "164160",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "374M2HA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236135300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Evans, APRN
• Miranda Lorelei Fisk, DC
• Erika Freking, NP
• Jared Paul Gilliland, PHARM.D
• Leann K Gruhlke, RPH
• Susan Marie Harman, PA-C
• Kerri Lynn Henderson, DC
• Denise Heupel, CRNA
• Laura Davis Huggins, M.D.
• Habiba Alero Ikoghode, M.D.

• Clinical Nurse Specialist in Jackson, MN
• Providers in Jackson, MN by specialty
• Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.

Verify at the official NPI Registry.