Individual provider Active NPI

Andrea Lynn Nibbe, CNP

  • Family Nurse Practitioner
  • Edina, MN
National Provider Identifier
1942058607
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11577 Issued in MN
Practice address
6363 France Ave S Ste 400
Edina, MN 55435-2142
Phone
(651) 312-1700
NPI assigned
May 8, 2024
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 11577 MN Primary

Addresses

Primary practice location

6363 France Ave S Ste 400
Edina, MN 55435-2142

Mailing address

3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600

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
I20240710003857 MN Practitioner - Nurse Practitioner 3173068434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Oncology Hematology PAGroup PAC ID 6709799752, 131 clinicians

Practice addresses (Care Compare)

1580 Beam Ave
Maplewood, MN 55109-1127
Phone (651) 779-7978

310 N Smith Ave
Suite 100
Saint Paul, MN 55102-2379
Phone (651) 251-5500

6545 France Ave S
Suite 210
Edina, MN 55435-2281
Phone (952) 928-2900

675 E Nicollet Blvd
Suite 100
Burnsville, MN 55337-6749
Phone (952) 892-7190

7760 France Ave S
Suite 1000
Bloomington, MN 55435-5870
Phone (952) 749-6767

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology, PA Family Current Accepting new patients
Minnesota Oncology Hematology, PA CurrentSince Oct 1, 2025 Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Oct 1, 2025 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

6363 France Ave S
Ste 400
Minneapolis, MN 55435
Phone (651) 312-1700

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

345 Sherman St
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5525

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, 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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1942058607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 AMERICAN BLVD W STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314442",
            "telephone_number": "952-512-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FRANCE AVE S STE 400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352142",
            "telephone_number": "651-312-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBBE",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.