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REBECCA ANN AHLSTROM APRN, CNP
NPI 1033305115
Nurse Practitioner - Gerontology in Rogers, MN

Active since September 21, 2007PECOS Enrolled
21897 S DIAMOND LAKE RD STE 400-403, ROGERS, MN 55374(763) 317-1122(855) 282-6764 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Ann Ahlstrom Aprn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA ANN AHLSTROM APRN, CNP (NPI 1033305115) is an individual gerontology provider in Rogers, Minnesota, licensed in Minnesota (167377-9) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033305115
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameREBECCA ANN AHLSTROMCredential: APRN, CNP
Location Address21897 S DIAMOND LAKE RD STE 400-403Rogers, MN 55374-4642
Mailing Address21897 S Diamond Lake Rd Ste 400-403Rogers, MN 55374-4642 · (763) 317-1122 · Fax (855) 282-6764
Phone(763) 317-1122
Fax(855) 282-6764
Sole ProprietorNo
Enumeration DateSeptember 21, 2007
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1033305115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MN · 167377-9
21897 S DIAMOND LAKE RD STE 400-403, Rogers, MN 55374
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Ann Ahlstrom Aprn, Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
135 services35 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
93 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRATIVE GERIATRICS, PLLC
Nurse Practitioner (Gerontology)
21897 S DIAMOND LAKE RD STE 400-403
ROGERS, MN 55374
Hennepin County (763) 317-1122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Ahlstrom's NPI number?

The NPI number for Rebecca Ahlstrom is 1033305115. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Rebecca Ahlstrom located?

Rebecca Ahlstrom practices at 21897 S Diamond Lake Rd Ste 400-403, Rogers, MN 55374. The listed phone number is (763) 317-1122.

What is Rebecca Ahlstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Rebecca Ahlstrom enrolled in Medicare?

Yes. Rebecca Ahlstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Ahlstrom was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.