MEDICARE: ANDREA BERGSTROM NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	CNP2295	MN

General Provider Information

NPI Number	:	1013179217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA BERGSTROM NP

Provider Business Mailing Address
First Line	:	9046 OGDEN AVE NE
Second Line	:
City	:	OTSEGO
State	:	MN
Zip	:	55330-7273
Country	:	US
Telephone Number	:	612-275-2398
Fax Number	:

Provider Business Practice Location Address
First Line	:	178 9TH ST E STE 300
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55101-2577
Country	:	US
Telephone Number	:	612-275-2398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2008
Last Update Date	:	08/29/2022

Similar Medicare Providers

1760546824 — NACOLE NELSON
Practice Location Address:

178 9TH ST E STE 300
SAINT PAUL, MN
55101-2577

Practice Phone: 877-440-1001
Practice Fax:

1639576994 — ANGELA DENISE LENTZ FNP-BC
Practice Location Address:

178 9TH ST E STE 300
SAINT PAUL, MN
55101-2577

Practice Phone: 877-440-1001
Practice Fax:

1285187658 — ALYSSA ANN LEESE CNP
Practice Location Address:

178 9TH ST E STE 300
SAINT PAUL, MN
55101-2577

Practice Phone: 877-440-1001
Practice Fax:

1558521765 — RAINBOW HEALTH MINNESOTA
Practice Location Address:

2577 TERRITORIAL RD
SAINT PAUL, MN
55114-1500

Practice Phone: 612-341-2060
Practice Fax:

1659728848 — CHRISTINE RUSHFELDT LICSW, LADC
Practice Location Address:

2577 TERRITORIAL RD
SAINT PAUL, MN
55114-1500

Practice Phone: 612-373-2409
Practice Fax: 612-341-3294

1679027148 — RAINBOW HEALTH MINNESOTA
Practice Location Address:

2577 TERRITORIAL RD
SAINT PAUL, MN
55114

Practice Phone: 612-341-2060
Practice Fax:

Directions to “ ANDREA BERGSTROM NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.