Anita Marie Handevidt, RN CNP CNS
Individual provider Active NPI Clinical Nurse Specialist · Jackson, MN
NPI 1891705968 · NPPES record last updated Feb 3, 2017
Key facts
- NPI
- 1891705968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Nurse Specialist 364S00000X
- License
- R0902409 (MN)
- Practice address
- 401 West St
Jackson, MN 56143-1219 - Phone
- (507) 847-2423
- Fax
- (507) 847-2422
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Pipestone Counseling Center LLC
Stepping Stone Counseling LLC
Practice addresses (Care Compare)
201 2ND Ave SW
Pipestone, MN 56164-2214
Phone (605) 759-7231
339 9TH St
Suite C
Windom, MN 56101-1694
Phone (507) 221-0005
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050321000028 | MN | Practitioner - Nurse Practitioner | 5698720910 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Certified Nurse Specialist, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stone Counseling, LLC | Current |
Accepting new patients | |
| Pipestone Counseling Center, LLC | Current |
Accepting new patients | |
| Desmoines Valley BHS | Clinical Nurse Specialist | Past |
Accepting new patients |
| Southern Cities Clinic | Past |
Accepting new patients | |
| Community and Family Resources | Past | Accepting new patients | |
| The Richmond Center | Past |
Accepting new patients | |
| Southern Cities Community Clinic | Past | Accepting new patients |
Locations
201 2nd Ave SW
Pipestone, MN 56164
Phone (605) 759-7231
339 9th St
Ste C
Windom, MN 56101
Phone (507) 221-0005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | R0902409 | MN | Yes |
| Nurse Practitioner | 363L00000X | R0902409 | MN |
Addresses
Primary practice location
401 West St
Jackson, MN 56143-1219
Mailing address
117 S Spring St
PO Box 686
Luverne, MN 56156-1916
Phone (507) 283-9511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236135300 | Medicaid | MN | |
| 374M2HA | Other | MN | BCBS |
| 164160 | Other | MN | UCARE |
Other providers in Jackson, MN
- Michelle Lee Evans
- Miranda Lorelei Fisk
- Erika Freking
- Jared Paul Gilliland
- Leann K Gruhlke
- Susan Marie Harman
- Kerri Lynn Henderson
- Denise Heupel
- Laura Davis Huggins
- Habiba Alero Ikoghode
All providers in Jackson, MN · Clinical Nurse Specialist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.