Individual provider Active NPI

Teresa Jean Kilian, ANPR, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anoka, MN
National Provider Identifier
1932367760
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2213 Issued in MN
Practice address
3301 7TH Ave
Anoka, MN 55303
Phone
(651) 431-5207
Fax
(651) 431-7738
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2213 MN Primary

Addresses

Primary practice location

3301 7TH Ave
Anoka, MN 55303

Mailing address

3200 Labore Rd.
Suite 104
Vadnais Heights, MN 55110-5186

Other names 1

  • Teresa Jean Duscher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000661 MN Practitioner - Nurse Practitioner 5698933372 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2213MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince May 10, 2019 Accepting new patients
Anoka Metro Regional Treatment Center CurrentSince Nov 1, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Upper Mississippi Mental Health Center, Inc Past Accepting new patients

Locations

3301 7th Ave
Anoka, MN 55303
Phone (651) 431-5000

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3200 Labore Rd
Ste 104
Vadnais Heights, MN 55110
Phone (612) 387-9243

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1932367760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD.",
            "address_2": "SUITE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 7TH AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "55303",
            "telephone_number": "651-431-5207",
            "fax_number": "651-431-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILIAN",
        "first_name": "TERESA",
        "middle_name": "JEAN",
        "credential": "ANPR, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "DUSCHER",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anoka, MN

Sources for this page

Verify at the official NPI Registry.