Individual provider Active NPI

Margaret Jean Hustad, MD

  • Pediatric Adolescent Medicine Physician
  • Shoreview, MN
National Provider Identifier
1962496927
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
24574 Issued in MN
Practice address
3585 Lexington Ave N
Suite 350
Shoreview, MN 55126-8064
Phone
(651) 484-3942
Fax
(651) 787-0519
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 24574 MN Primary

Addresses

Primary practice location

3585 Lexington Ave N
Suite 350
Shoreview, MN 55126-8064

Mailing address

3585 Lexington Ave N
Suite 350
Shoreview, MN 55126-8064
Phone (651) 251-5280

Other identifiers 4

IdentifierTypeStateIssuer
299L1HUOtherMNBLUE CROSS BLUE SHIELD
CP9090577003OtherMNPREFERRED ONE
1224023OtherMNMEDICA
1202044OtherMNMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24574MNMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962496927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 LEXINGTON AVE N",
            "address_2": "SUITE 350",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268064",
            "telephone_number": "651-251-5280",
            "fax_number": "651-251-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 LEXINGTON AVE N",
            "address_2": "SUITE 350",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268064",
            "telephone_number": "651-484-3942",
            "fax_number": "651-787-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTAD",
        "first_name": "MARGARET",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MN",
            "license": "24574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "299L1HU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "CP9090577003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1224023",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1202044",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.