| Annika Elizabeth Anais Walter, | |
|
3032 Utah Ave N, Crystal, MN 55427-2545 | |
| (612) 280-2644 | |
| Not Available |
| Full Name | Annika Elizabeth Anais Walter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3032 Utah Ave N, Crystal, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952924995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 8645 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | 2466784 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Recover Health | Hibbing, MN | Home health agency |
| Essentia Health Virginia | Virginia, MN | Hospital |
| Essentia Health Northern Pines Medical Center | Aurora, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Annika Elizabeth Anais Walter, Ssb-6, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Annika Elizabeth Anais Walter, 3032 Utah Ave N, Crystal, MN 55427-2545 Ph: (612) 280-2644 |
Sarah Mary Johnson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183 | |
Jessica Lynn Rusciano, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7999 | |
Jennifer Nelson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183 | |
Julitta Adu-gyamfi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6014 Lakeland Ave N, Crystal, MN 55428 Phone: 612-871-2312 | |
Helen O Osonowo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5724 Bass Lake Rd, Crystal, MN 55429 Phone: 763-561-3434 Fax: 612-314-8840 | |
Jill Titze, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183 | |
Naomi B Machungo, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183 |