Gustavus Adolphus College
NPI 1508911330ActiveOrganization· Nurse Practitioner, Family· Saint Peter, MN
Nurse Practitioner, Family in Saint Peter, Minnesota, registered in NPPES in January 2007. The authorized official on file is Heather Dale, Director Of Health Service.
Overview
| NPI | 1508911330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Jan 7, 2022 |
| Certified by provider | Jan 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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