Active NPI
Dana Alexandra Peterson, APRN
- Family Nurse Practitioner
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6699
- Practice address
- 1747 Beam Ave Ste 100
Maplewood, MN 55109-1128 - Phone
- (651) 232-3900
- NPI assigned
- Jan 7, 2015
- Last updated
- Jun 1, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6699 | MN | Primary |
| Neurological Surgery Physician | 207T00000X | 6699 | MN | |
| Nurse Practitioner | 363L00000X | 6046 | CT | |
| Family Nurse Practitioner | 363LF0000X | RN2284104 | MA | |
| Family Nurse Practitioner | 363LF0000X | 6046 | CT |
Addresses
Primary practice location
1747 Beam Ave Ste 100
Maplewood, MN 55109-1128
Mailing address
400 Stinson Blvd FL 2
Minneapolis, MN 55413-2614
Other practice location 1
1700 University Ave W Fl 6
Saint Paul, MN 55104-3727
Phone (651) 232-2273
Other practice location 2
41 Mall Rd
Lahey Hospital and Medical Center
Burlington, MA 01805-0001
Phone (781) 744-7580
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 University Ave W
6TH Floor W
Saint Paul, MN 55104-3727
Phone (651) 232-2273
3305 Central Park Village Dr
Eagan, MN 55121-7707
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview St John's Hospital
- M Health Fairview Woodwinds Hospital
- M Health Fairview Ridges Hospital
- Fairview Lakes Health Services
- M Health Fairview Southdale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6046 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients |
Locations
1747 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 221-9051
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- dpeterson600793@fairview.direct-ci.com
Organizations & group practices 8
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.
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba HealthEast Professional Services
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
dba HealthEast Woodbury Clinic
- Clinic/Center
- Woodbury, MN
- NPI 1831145705
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba HealthEast Oakdale Clinic
- Clinic/Center
- Oakdale, MN
- NPI 1073569935
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
dba Fairview Ridges Hospital
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
dba Fairview Southdale Hospital
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
dba Fairview Woodwinds Hospital
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1902294358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 STINSON BLVD FL 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 BEAM AVE STE 100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091128",
"telephone_number": "651-232-3900"
}
],
"practiceLocations": [
{
"address_1": "1700 University Ave W Fl 6",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551043727",
"country_code": "US",
"telephone_number": "651-232-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 Mall Rd",
"address_2": "Lahey Hospital and Medical Center",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018050001",
"country_code": "US",
"telephone_number": "781-744-7580",
"fax_number": "781-744-5778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "DANA",
"middle_name": "ALEXANDRA",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-07",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "6699",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MN",
"license": "6699",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "6046",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2284104",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6046",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.