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Active NPI 1952719254 Individual Practitioner Female Practitioner

Ellen Fastner , NP

Nurse Practitioner - Family • Champlin, MN

Professional Overview & Biography Verified Profile Summary

Ellen Fastner, NP is a registered healthcare professional specializing in Nurse Practitioner - Family in Champlin, MN. Practice services are available at 11269 JEFFERSON HWY N under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11269 Jefferson Hwy N

Champlin, MN 55316

Telephone 7632360600
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1871899674

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Champlin, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Champlin, MN (3376 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 35 $275.00 $90.44
36415 Insertion of needle into vein for collection of blood sample
18 14 $17.00 $2.94

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License MN R126105-5

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MN 1284

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Carla Schultz , MD

Internal Medicine

NPI 1003100595

Doctor of Medicine (M.D.)

Dr. Timothy Trude , MD

Family Medicine

NPI 1023074259

Doctor of Medicine (M.D.)

NPI 1033145636

Doctor of Medicine (M.D.)

Dr. Anne Kern , MD

Obstetrics & Gynecology

NPI 1063474054

Doctor of Medicine (M.D.)

Ellen Hanson , CNP

Nurse Practitioner

NPI 1073318598

Certified Nurse Practitioner

Dr. Eftu Boru , MD

Family Medicine

NPI 1174055131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 04, 2018

Registered at 11269 JEFFERSON HWY N, CHAMPLIN, MN 55316 (Tel: 7632360600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2018

Nurse Practitioner (License #1284 in MN)

NPI Profile Active August 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2014

Registered at 11269 JEFFERSON HWY N, CHAMPLIN, MN 553163123 (Tel: 7632360600)

📍
Updated Business Mailing Address August 25, 2014

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122625000)

👤
Provider Name / Credentials Updated August 25, 2014

Recorded as ELLEN FASTNER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2014

Nurse Practitioner (License #R126105-5 in MN)

🟢
Initial NPI Registration & Enumeration July 30, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952719254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2014
Last Update: June 04, 2018
Sole Proprietor: No

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122625000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.