ANGELA MATHISON (NPI# 1083969778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083969778 |
| Entity Type | Individual |
| Full Name | ANGELA MATHISON |
| Credential | NP-C |
| Practice Address |
14181 Business Center Dr Nw Elk River MN 55330 |
| Mailing Address |
14181 Business Center Dr Nw Elk River MN 55330-4654 |
| Practice Telephone | 7632360500 |
| Practice Fax Number | 7632360525 |
| Mailing Telephone | 7632360500 |
| Mailing Fax Number | 7632360525 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1781 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A0712012 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
G0712002 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14181 BUSINESS CENTER DR NW |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245209741 | Scott C. Waters | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2006-03-16 |
| 1306379870 | Julie Kallemeyn | Physical Therapist | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2017-04-11 |
| 1427476449 | Rachel Nebelsick | Pediatrics | 14181 Business Center Dr Nw, Elk River, MN 55330 | 2014-04-07 |
| 1710319066 | Jennifer Lynn Filips | Nurse Practitioner | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2013-08-08 |
| 1215374152 | Amy Lynn Keller | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2013-06-02 |
| 1447506258 | Jessica Kesinger | Physician Assistant | 14181 Business Center Dr Nw, Elk River, MN 55330 | 2012-07-30 |
| 1770842007 | Yordanka R Alvarez | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2012-05-07 |
| 1386940732 | Allina Health System | Clinic/Center | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2011-02-02 |
| 1750410148 | Rebecca Buttke | Physical Therapist | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2007-03-03 |
| 1639243207 | Elk Ridge Clinic | Non-Pharmacy Dispensing Site | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730647728 | Paige Muenchow | Nurse Practitioner | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2019-03-08 |
| 1700852027 | Marilyn E Barnes | Nurse Practitioner | 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330-1445 | 2006-02-27 |
| 1861468142 | Linda K Friede | Nurse Practitioner | 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330-1445 | 2006-02-27 |
| 1801862198 | Lori Lee Cleland | Nurse Practitioner | 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330-1445 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1043821622 | Byron Howard Herdman | Nurse Practitioner | 20671 State Highway 29, Henning, MN 56551-9521 | 2020-08-16 |
| 1568071058 | Miranda Bea Irene Charley | Nurse Practitioner | 510 Water St E, Cannon Falls, MN 55009-1643 | 2020-07-30 |
| 1861001059 | Angelsisters Home Healthcare Servies LLC | Nurse Practitioner | 10001 Butternut Cir N, Brooklyn Park, MN 55443-1864 | 2020-07-24 |
| 1720606544 | Kendra Marie Robida | Nurse Practitioner | 7245 Guider Dr Apt 317, Woodbury, MN 55125-5358 | 2020-07-08 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1487276556 | Kerriann Godwin | Nurse Practitioner | 842 102nd Ln Ne, Blaine, MN 55434-2642 | 2020-05-12 |
| 1699397851 | School of Health LLC | Nurse Practitioner | 30165 Terryll St, Lindstrom, MN 55045-9310 | 2020-05-11 |
| 1255953626 | Carla Renea Boudoir | Nurse Practitioner | 18342 Kerrville Trl, Lakeville, MN 55044-7310 | 2020-05-08 |
| 1639799745 | Elizabeth Carole Moe | Nurse Practitioner | 2151 Troop Dr, Sartell, MN 56377-4563 | 2020-04-17 |
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| 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.