LAURA ANNE CHILSON (FNP) – Nurse Practitioner, NPI 1104343607

LAURA ANNE CHILSON (FNP) is a healthcare provider. based in Bloomington, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 6333 (MN). The NPI Number for LAURA ANNE CHILSON (FNP) is 1104343607

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LAURA ANNE CHILSON (FNP)
NPI
1104343607
Phone
(651) 653-2100
Address
8170 33RD AVE
Enumeration Date
24 August 2017
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514269502
Graduation Year
2017 (9 years ago)
PAC ID
5991055253
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20190325002200
Address ID
MN551103653WH1430XEXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for LAURA ANNE CHILSON (FNP)

  • 8170 33RD AVE

    MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone: (651) 653-2100

    Fax: (651) 653-2125

    Type: Mailing

  • 1430 HIGHWAY 96 E

    WHITE BEAR LAKE, MN 55110

    Phone: (651) 653-2100

    Fax: (651) 653-2125

    Type: Location

  • 1654 DIFFLEY RD STE 100

    EAGAN, MN 551222236

    Phone: (651) 641-3900

    Type: Location

  • 8170 33RD AVE S

    MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190325002200INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5140$0
36415Insertion of needle into vein for collection of blood sample3929$0
99213Established patient office or other outpatient visit, 20-29 minutes2220$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test2119$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759293954View full group profile
NameSpecialtyState
-MN
Clinical PsychologistMN
Physician AssistantMN
Pediatric MedicineMN
O P T O M E T R YNJ
Nurse PractitionerMN
Emergency MedicineMN
Family PracticeMN
Family PracticeWI
Cardiac Surgery, Thoracic Surgery, Vascular SurgeryMN

Reviews

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Frequently asked questions

How do I look up LAURA ANNE CHILSON (FNP) by NPI?
Use NPI 1104343607 when you need to reference LAURA ANNE CHILSON (FNP) in forms, claims, or directories.
Is LAURA ANNE CHILSON (FNP) currently active in the NPI registry?
CMS-published data lists LAURA ANNE CHILSON (FNP) as an active registrant.
What field does LAURA ANNE CHILSON (FNP) work in?
You can think of LAURA ANNE CHILSON (FNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LAURA ANNE CHILSON (FNP)'s primary listing?
We display Bloomington, Minnesota because that is what the record indicates for LAURA ANNE CHILSON (FNP).
What if Bloomington, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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