Active NPI
Valetta Johnson Massaquoi, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Excelsior, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7916
- 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, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7916 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Rehabilitation Medicine Associates, LLC | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Excelsior, MN
- NPI 1093103145
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.