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Andrea Noelle Moldstad, DNP, APRN, FNP-C

Nurse Practitioner, Family in Mankato, MN. Individual provider (NPI-1).

NPI number1487005229
StatusActive
Last updated in NPPESSep 17, 2020

Details

NPI
1487005229
Entity type
Individual (NPI-1)
Name
Andrea Noelle Moldstad
Credential
DNP, APRN, FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 22, 2016
Certification date
Sep 17, 2020
Last updated
Sep 17, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyCNP 4577MNYes

Practice location

1025 Marsh St
Mankato, MN 56001-4752

Phone 507-625-4031

Mailing address

1025 Marsh St
Mankato, MN 56001-4752

Phone 507-625-4031

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Mankato, MN

All 44 Family Nurse Practitioner providers in Mankato · All 2,445 providers in Mankato

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