MS. MARY MARGARET ANDERSEN (NPI# 1033285564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033285564 |
| Entity Type | Individual |
| Full Name | MS. MARY MARGARET ANDERSEN |
| Credential | APRN, CNS, MSN |
| Practice Address |
11800 Singletree Ln Suite 204 Eden Prairie MN 55344-5328 |
| Mailing Address |
11800 Singletree Ln Ste 204 Eden Prairie MN 55344-5397 |
| Practice Telephone | 9523228532 |
| Mailing Telephone | 9523228532 |
| Mailing Fax Number | 9523228513 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
R119098 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
R119098 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
R119098 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | VALUE OPTIONS | 457962 | 01 |
| MN | UCARE | 150212 | 01 |
| MN | HEALTH PARTNERS | 77745 | 01 |
| MN | 588755100 | 05 | |
| MN | BLUECROSS BLUESHIELD | 33G27AN | 01 |
| MN | SELECT CARE | 41-2001259 | 01 |
| MN | MEDICA | 62-51410 | 01 |
| MN | VALUEPOINT (MULTIPLAN) | 12291815 | 01 |
| MN | FORTIS | 0411805759 | 01 |
| MN | ARAZ | 1134583 | 01 |
| MN | PREFERRED ONE | 990991009372 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 551201289 | 9523228532 | 9523228513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1801310206 | Mary Elizabeth Andersen | Hearing Instrument Specialist | 10553 Senegal Dr, Pensacola, FL 32534-7912 | 2017-07-28 |
| 1730692708 | Mary A Andersen | Nurse Practitioner | 333 W Norfolk Ave Ste 201, Norfolk, NE 68701-5221 | 2017-11-13 |
| Street Address |
11800 SINGLETREE LN SUITE 204 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831431 | Kathryn J Berg | Social Worker | 11800 Singletree Ln, Eden Prairie, MN 55344-5397 | 2005-12-13 |
| 1760886840 | Talk Therapy | Marriage & Family Therapist | 11800 Singletree Ln, Suite 204, Eden Prairie, MN 55344-5328 | 2014-10-17 |
| 1013253749 | Cindy Kay Lea | Marriage & Family Therapist | 11800 Singletree Ln, Suite 204, Eden Prairie, MN 55344-5328 | 2012-12-28 |
| 1063775807 | Lauren Radach | Mechanotherapist | 11800 Singletree Ln, Suite 205, Eden Prairie, MN 55344-5328 | 2012-06-18 |
| 1689965527 | Nathaniel Saul Samuelson | Chiropractor | 11800 Singletree Ln, Suite 205, Eden Prairie, MN 55344-5328 | 2011-04-26 |
| 1396982393 | Valeo Health & Wellness Center Pllc | Chiropractor | 11800 Singletree Ln, Suite 205, Eden Prairie, MN 55344-5328 | 2009-01-13 |
| 1811162746 | Advanced Practice Psyc Services, Inc | Clinic/Center | 11800 Singletree Ln, Suite 204, Eden Prairie, MN 55344-5328 | 2008-04-22 |
| 1558573105 | Sara Elizabeth Urevig | Acupuncturist | 11800 Singletree Ln, Suite 307, Eden Prairie, MN 55344-5328 | 2007-05-04 |
| 1841353992 | Gallagher Cosmetic &family Dentistry, Pa | Dentist | 11800 Singletree Ln, Suite 208, Eden Prairie, MN 55344-5328 | 2006-12-19 |
| 1023179181 | Michael J Gallagher | Dentist | 11800 Singletree Ln, Suite 208, Eden Prairie, MN 55344-5328 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1922159680 | Kristie Lee Sward | Clinical Nurse Specialist | 160 Kellogg Blvd E Ste 8200, Saint Paul, MN 55101-1420 | 2007-01-16 |
| 1447333513 | Karen Sue Finck | Clinical Nurse Specialist | 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 | 2006-10-23 |
| 1548289259 | Judith Hilary Weis | Clinical Nurse Specialist | 27 1st St Sw, Crosby, MN 56441-1417 | 2006-07-19 |
| 1184170383 | Jessica Michelle Cadriel | Clinical Nurse Specialist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2016-08-28 |
| 1790138550 | Katy Jean Srock | Clinical Nurse Specialist | 520 Nw 5th St, Brainerd, MN 56401-2902 | 2016-07-18 |
| 1063864395 | Sherryl St.martin | Clinical Nurse Specialist | 3101 Superior Dr Nw, Rochester, MN 55901-1993 | 2016-07-11 |
| 1386099505 | Luke Schwartz Moretti | Clinical Nurse Specialist | 2450 Riverside Ave, 6a East, Minneapolis, MN 55454-1450 | 2016-04-25 |
| 1053771428 | Psychnurse P.C. | Clinical Nurse Specialist | 3000 County Road 42 W, Suite 210, Burnsville, MN 55337-4824 | 2016-02-29 |
| 1396100046 | Jamie Lynn Giles | Clinical Nurse Specialist | 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 | 2015-12-23 |
| Find all providers with the same taxonomy | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on MS. MARY MARGARET ANDERSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.