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GUSTAVUS ADOLPHUS COLLEGE HEALTH SERVICE
NPI 1508911330
Nurse Practitioner - Family in Saint Peter, MN

Active since January 24, 2007CLIA 24D0671208 · Waiver
800 W COLLEGE AVE, HEALTH SERVICE, SAINT PETER, MN 56082(507) 933-8000(507) 933-6074 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Gustavus Adolphus College Health Service NPPES

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

GUSTAVUS ADOLPHUS COLLEGE HEALTH SERVICE (NPI 1508911330) is a healthcare organization registered as a family in Saint Peter, Minnesota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Heather Dale, Director Of Health Service, as its authorized official.

NPPES Registry Identity

NPI1508911330
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGUSTAVUS ADOLPHUS COLLEGE
Location Address800 W COLLEGE AVE, HEALTH SERVICESaint Peter, MN 56082-1485
Mailing Address800 W College Ave, Health ServiceSaint Peter, MN 56082-1485 · (507) 933-8000 · Fax (507) 933-6074
Phone(507) 933-8000
Fax(507) 933-6074
Organization SubpartNo
Authorized OfficialHeather DaleDirector Of Health Service · (507) 933-7630
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
✔ NPI 1508911330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
800 W COLLEGE AVE, Saint Peter, MN 56082
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Other Names 1

Other NameGustavus Adolphus College Health Service

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0671208

Gustavus Adolphus College Health Service · St Peter, MN
Active · expires May 31, 2028
CLIA Number24D0671208
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorHeather A. Dale
Laboratory Phone(507) 933-7630
Laboratory LocationGustavus Adolphus College Health Service800 West College Ave, St Peter, MN 56082
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

HALEY JEAN REED
Student in an Organized Health Care Education/Training Program
800 W COLLEGE AVE
SAINT PETER, MN 56082
Nicollet County (218) 434-0054
HEATHER A DALE PA-C
Physician Assistant
800 W COLLEGE AVE
SAINT PETER, MN 56082
Nicollet County (507) 933-7630
ABIGAIL JO SCHAMMEL
Student in an Organized Health Care Education/Training Program
800 W COLLEGE AVE
SAINT PETER, MN 56082
Nicollet County (507) 933-8000
YEE LOR
Specialist/Technologist (Athletic Trainer)
800 W COLLEGE AVE
SAINT PETER, MN 56082
Nicollet County (763) 447-1874
EMMA DAVIS
Student in an Organized Health Care Education/Training Program
800 W COLLEGE AVE
SAINT PETER, MN 56082
Nicollet County (218) 391-3407
MR. MATTHEW JAMES EBERHARDT MS, ATC, ATR, CSCS
Specialist/Technologist (Athletic Trainer)
800 W COLLEGE AVE, LUND CENTER
SAINT PETER, MN 56082
Nicollet County (651) 307-3908
TYLER LEE
Student in an Organized Health Care Education/Training Program
800 W COLLEGE AVE
SAINT PETER, MN 56082
Nicollet County (763) 221-2330
SABLE DAWN KNOCHENMUS
Specialist/Technologist (Athletic Trainer)
800 W COLLEGE AVE
SAINT PETER, MN 56082
Nicollet County (218) 242-7662

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 Gustavus Adolphus College's NPI number?

The NPI number for Gustavus Adolphus College is 1508911330. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is also known as Gustavus Adolphus College Health Service.

Where is Gustavus Adolphus College located?

Gustavus Adolphus College is located at 800 W College Ave Health Service, Saint Peter, MN 56082. The listed phone number is (507) 933-8000.

What is Gustavus Adolphus College's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Gustavus Adolphus College hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0671208) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gustavus Adolphus College accept?

Health plans from Medica list Gustavus Adolphus College as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gustavus Adolphus College was last updated on January 7, 2022. 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.