Active NPI
Kara Marie Sanderson, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11908 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Metro Human Services | Current | Accepting new patients | |
| Mental Health Counseling Services, LLC | Psychiatric/Mental Health | Current | 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.
-
- Adult Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1679717524
Psychiatric/Mental Health
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1578642757
-
- Occupational Therapist
- Saint Paul, MN
- NPI 1639239445
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.