AMBER RAE HALVERSON APRN-CNP
NPI 1144716697
Nurse Practitioner - Gerontology in Minnetrista, MN

Active since July 09, 2018Opted out of Medicare · through Jul 22, 2027
5520 RIDGEWOOD CV, MINNETRISTA, MN 55364(800) 873-0561 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amber Rae Halverson Aprn-cnp NPPES

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

AMBER RAE HALVERSON APRN-CNP (NPI 1144716697) is an individual gerontology provider in Minnetrista, Minnesota, licensed in Minnesota (5935) and active in the NPI registry since July 2018. She has opted out of Medicare through July 22, 2027.

NPPES Registry Identity

NPI1144716697
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameAMBER RAE HALVERSONCredential: APRN-CNP
Location Address5520 RIDGEWOOD CVMinnetrista, MN 55364-8239
Mailing Address5520 Ridgewood CvMinnetrista, MN 55364-8239 · (800) 873-0561
Sole ProprietorNo
Enumeration DateJuly 9, 2018
NPI 1144716697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MN · 5935
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5935 (MN)
5520 RIDGEWOOD CV, Minnetrista, MN 55364

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Amber Rae Halverson Aprn-cnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2025 through July 22, 2027.

Opt-Out Effective DateJuly 22, 2025
Opt-Out In Effect ThroughJuly 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
5520 RIDGEWOOD CV
MINNETRISTA, MN 55364
Family Medicine
5520 RIDGEWOOD CV
MINNETRISTA, MN 55364
Nurse Practitioner (Gerontology)
5520 RIDGEWOOD CV
MINNETRISTA, MN 55364
Clinical Nurse Specialist (Gerontology)
5520 RIDGEWOOD CV
MINNETRISTA, MN 55364
Nurse Practitioner (Gerontology)
5520 RIDGEWOOD CV
MOUND, MN 55364
Family Medicine
5520 RIDGEWOOD CV
MINNETRISTA, MN 55364

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 Amber Halverson's NPI number?

The NPI number for Amber Halverson is 1144716697. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Amber Halverson located?

Amber Halverson practices at 5520 Ridgewood Cv, Minnetrista, MN 55364. The listed phone number is (800) 873-0561.

What is Amber Halverson's specialty?

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

Is Amber Halverson enrolled in Medicare?

No. Amber Halverson has opted out of Medicare through July 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amber Halverson was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.