Active NPI
Peg Fitzgerald Hintz, CNP
- Family Nurse Practitioner
- Anoka, MN
National Provider Identifier
1932575305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R1793293
- Practice address
- 3301 7TH Ave
Anoka, MN 55303-4516 - Phone
- (651) 431-5162
- Fax
- (651) 431-7718
- NPI assigned
- Aug 19, 2015
- 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 | R1793293 | MN | Primary |
Addresses
Primary practice location
3301 7TH Ave
Anoka, MN 55303-4516
Mailing address
10525 Zion St NW
Coon Rapids, MN 55433-4039
Phone (952) 270-2234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1793293 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anoka Metro Regional Treatment Center | Current | Accepting new patients |
Locations
3301 7th Ave
Anoka, MN 55303
Phone (651) 431-5000
3200 Labore Rd
Ste 104
Vadnais Heights, MN 55110
Phone (612) 387-9243
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Anoka, MN
- NPI 1275585564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1932575305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10525 ZION ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554334039",
"telephone_number": "952-270-2234",
"fax_number": "651-431-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 7TH AVE",
"city": "ANOKA",
"state": "MN",
"postal_code": "553034516",
"telephone_number": "651-431-5162",
"fax_number": "651-431-7718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD HINTZ",
"first_name": "PEG",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R1793293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.