Individual provider Active NPI

Valetta Johnson Massaquoi, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Excelsior, MN
National Provider Identifier
1922611318
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7916 Issued in MN
Practice address
464 2ND St Ste 204
Excelsior, MN 55331-2015
Phone
(612) 787-8408
Fax
(612) 567-8935
NPI assigned
Aug 26, 2020
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7916 MN Primary

Addresses

Primary practice location

464 2ND St Ste 204
Excelsior, MN 55331-2015

Mailing address

464 2ND St Ste 204
Excelsior, MN 55331-2015

Other practice location 1

13035 Flanders Ct NE
Blaine, MN 55449-5896
Phone (763) 784-2896

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmassaquoi53128@excellian.direct.allina.com Direct

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
I20220318000224 MN Practitioner - Nurse Practitioner 7517352156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Medicine Associates LLCGroup PAC ID 9335465558, 10 clinicians

Practice addresses (Care Compare)

464 2ND St
Suite 204
Excelsior, MN 55331-2015
Phone (612) 787-8408

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7916MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Allina Health System CurrentSince Jan 11, 2023 Accepting new patients
Rehabilitation Medicine Associates, LLC CurrentSince Jul 14, 2025 Accepting new patients
Allina Health System Current Accepting new patients

Locations

2001 Midwest Rd
Ste 100
Oak Brook, IL 60523
Phone (630) 426-9501

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

464 2nd St
Ste 204
Excelsior, MN 55331
Phone (612) 787-8404

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, 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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1922611318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 2ND ST STE 204",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553312015",
            "fax_number": "612-567-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 2ND ST STE 204",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553312015",
            "telephone_number": "612-787-8408",
            "fax_number": "612-567-8935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13035 Flanders Ct NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554495896",
            "country_code": "US",
            "telephone_number": "763-784-2896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSAQUOI",
        "first_name": "VALETTA",
        "middle_name": "JOHNSON",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmassaquoi53128@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "255 Smith Ave N",
            "address_2": "STE 100",
            "city": "St Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

Verify at the official NPI Registry.