Grace Edith Line
Driver • Andover, MN
2934 168th Ln Nw
Andover, MN 553041928
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
2934 168th Ln Nw
Andover, MN 553041928
NPPES lists 1 additional practice-address record in Duluth, MN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Driver: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Andover and Minnesota
2 active clinicians are listed under Driver with a practice address in Andover, MN (233 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-02-13NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Secondary Practice Locations
6588 Fredenberg Lake Rd
Duluth, MN 558039468
Phone: 2184815357
Career & Practice History
NPI enumerated February 13, 2020.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2020 to August 2026.
NPI Administrative Meta
Mailing Address
Po Box 15192
Duluth, MN 558150192
Phone: 2184815357