Individual provider Active NPI

Kara Marie Sanderson, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1982294450
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11908 Issued in MN
Practice address
615 1St Ave NE Ste 310
Minneapolis, MN 55413-2419
Phone
(612) 436-0295
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11908 MN Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2245698 MN

Addresses

Primary practice location

615 1St Ave NE Ste 310
Minneapolis, MN 55413-2419

Mailing address

3220 223Rd St W
Farmington, MN 55024-4004
Phone (319) 883-6431

Other practice location 1

166 4th St E Ste 200
Saint Paul, MN 55101-1667
Phone (612) 453-4020

Other names 1

  • Kara Marie Sanderson Former name

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
I20240910003314 MN Practitioner - Nurse Practitioner 0840730453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Key CorporationGroup PAC ID 9032009238, 53 clinicians
South Metro Human ServicesGroup PAC ID 4284734880, 6 clinicians
Mental Health Counseling Services LLCGroup PAC ID 3173675790, 23 clinicians

Practice addresses (Care Compare)

1394 Jackson St
Suite 201
Saint Paul, MN 55117-4630
Phone (612) 315-5866

166 4TH St E
Suite 200
Saint Paul, MN 55101-1667
Phone (651) 291-1979

615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2419
Phone (612) 436-0295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11908MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Metro Human Services CurrentSince Aug 1, 2025 Accepting new patients
Mental Health Counseling Services, LLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients

Locations

615 1st Ave NE
Ste 310
Minneapolis, MN 55413

166 4th St E
Ste 200
Saint Paul, MN 55101
Phone (651) 291-1979

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1982294450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 223RD ST W",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550244004",
            "telephone_number": "319-883-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 1ST AVE NE STE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132419",
            "telephone_number": "612-436-0295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 4th St E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551011667",
            "country_code": "US",
            "telephone_number": "612-453-4020",
            "fax_number": "651-588-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "KARA",
        "middle_name": "MARIE",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11908",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2245698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "SANDERSON",
            "middle_name": "MARIE",
            "credential": "KARA HENDRICKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.