OrganizationActive
Advanced Practice Solutions,pa
NPI 1790981157 · Nurse Practitioner · Cottage Grove, MN
Provider details
- NPI number
- 1790981157
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jodi Vance, Director of Administrative Services(651) 303-5611
- License
- MM1464522 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6380 Highland Hills Blvd S
Cottage Grove, MN 55016-4479
Phone: (651) 303-5611
Street-level locationGet directions
Mailing address
6380 Highland Hills Blvd S
Cottage Grove, MN 55016-4479
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.