Individual provider Active NPI

Kati Michelle Bartelt, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Janesville, MN
National Provider Identifier
1053043448
Registry record updated Jun 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9265 Issued in MN
Practice address
312 W Allyn St
Janesville, MN 56048-9598
Phone
(507) 402-7062
NPI assigned
Jun 26, 2022
Last updated
Jun 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9265 MN Primary

Addresses

Primary practice location

312 W Allyn St
Janesville, MN 56048-9598

Mailing address

312 W Allyn St
Janesville, MN 56048-9598
Phone (507) 402-7062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221000865 MN Practitioner - Nurse Practitioner 2567834518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fernbrook Family Center IncGroup PAC ID 3870872914, 31 clinicians

Practice addresses (Care Compare)

2575 Harvest LN
Owatonna, MN 55060-4305
Phone (507) 446-0431

421 E Hickory St
Suite 401
Mankato, MN 56001-2637
Phone (507) 446-0431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9265MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fernbrook Family Center, Inc CurrentSince Feb 1, 2023 Accepting new patients
Fernbrook Family Center Past Accepting new patients

Locations

2575 Harvest Ln
Owatonna, MN 55060
Phone 5074460431115

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1053043448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W ALLYN ST",
            "city": "JANESVILLE",
            "state": "MN",
            "postal_code": "560489598",
            "telephone_number": "507-402-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W ALLYN ST",
            "city": "JANESVILLE",
            "state": "MN",
            "postal_code": "560489598",
            "telephone_number": "507-402-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELT",
        "first_name": "KATI",
        "middle_name": "MICHELLE",
        "credential": "APRN PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, MN

Sources for this page

Verify at the official NPI Registry.