OrganizationActive
Well Medical PA
NPI 1003245929 · Nurse Practitioner · Inver Grove Heights, MN
Provider details
- NPI number
- 1003245929
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Anna Jauregui, Office Manager(651) 451-3311
- License
- 0212447 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2125 Upper 55th St E
Suite 250
Inver Grove Heights, MN 55077-1734
Phone: (651) 451-3311
Fax: (651) 451-3377
Street-level locationGet directions
Mailing address
2125 Upper 55th St E
Inver Grove Heights, MN 55077-1734
Registry dates
- Enumerated
- 2013-11-01
- Last updated
- 2013-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.