CORINNE FANTA
NPI 1871303263
Nurse Practitioner - Gerontology in Edina, MN
About Corinne Fanta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORINNE FANTA (NPI 1871303263) is an individual gerontology provider in Edina, Minnesota, licensed in Minnesota (12448) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Corinne Fanta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Corinne Fanta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairview Lakes Health Services
Acute Care Hospitals · Wyoming, MNM Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNFairview Northland Regional Hospital
Acute Care Hospitals · Princeton, MNM Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EDINA, MN 55435
EDINA, MN 55435
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 Corinne Fanta's NPI number?
The NPI number for Corinne Fanta is 1871303263. It was assigned to this individual provider in the NPPES registry on January 8, 2025.
Where is Corinne Fanta located?
Corinne Fanta practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.
What is Corinne Fanta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Corinne Fanta enrolled in Medicare?
Yes. Corinne Fanta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Corinne Fanta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Corinne Fanta reassigns Medicare benefits to 3 organizations: Fairview Express Care (Edina, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Corinne Fanta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Corinne Fanta affiliated with any hospitals?
According to CMS data, Corinne Fanta is affiliated with Fairview Lakes Health Services, M Health Fairview Southdale Hospital, Fairview Northland Regional Hospital, M Health Fairview Ridges Hospital and M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Corinne Fanta was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Corinne Fanta · NPI 1871303263
Gerontology physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since January 8, 2025.
## Identity
- **NPI:** 1871303263 (Entity type: Individual)
- **Enumerated:** January 8, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 12448 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6401 FRANCE AVE S, Edina, MN 55435-2104
- **Phone:** (952) 924-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1831707207, Edina, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871303263) · Data from the CMS NPPES public registry.