Individual provider Active NPI

Qiying She, NP

  • Primary Care Nurse Practitioner
  • Coon Rapids, MN
National Provider Identifier
1962990135
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
8278 Issued in MN
Practice address
2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Phone
(637) 537-6000
Fax
(763) 537-6666
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.022124 OH
Primary Care Nurse Practitioner 363LP2300X 8278 MN Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.022124 OH

Addresses

Primary practice location

2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046

Mailing address

2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Phone (637) 537-6000

Other practice location 1

7400 France Ave S Ste 100
Edina, MN 55435-4738
Phone (763) 537-6000

Other practice location 2

7390 France Ave S
Edina, MN 55435-4500
Phone (763) 537-6000

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
I20211018000095 MN Practitioner - Nurse Practitioner 1850656406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nura PLLCGroup PAC ID 2769378942, 33 clinicians

Practice addresses (Care Compare)

7400 France Ave S
Suite 100
Edina, MN 55435-4738
Phone (763) 537-6000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022124OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nura PLLC CurrentSince Oct 4, 2021 Accepting new patients
Nura PLLC CurrentSince Oct 4, 2021 Accepting new patients
Minnesota Surgery Center, LTD. Past Accepting new patients

Locations

7400 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (612) 597-6316

7390 France Ave S
Minneapolis, MN 55435
Phone 7635376000 ext. 267

2104 Northdale Blvd NW
Ste 220
Minneapolis, MN 55433
Phone (763) 507-6000

Interoperability endpoints

  • Direct secure messaging: qiying.she.p21@direct.painphysicians.nextgenshare.com

Organizations & group practices 3

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1962990135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 220",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333046",
            "telephone_number": "637-537-6000",
            "fax_number": "763-537-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 220",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333046",
            "telephone_number": "637-537-6000",
            "fax_number": "763-537-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 France Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354738",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7390 France Ave S",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354500",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHE",
        "first_name": "QIYING",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.022124",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "8278",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

Verify at the official NPI Registry.