Individual provider Active NPI

Cody Barta

  • Family Nurse Practitioner
  • Maricopa, AZ
National Provider Identifier
1053127209
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12356 Issued in MN
Practice address
40549 W Parkhill Dr
Maricopa, AZ 85138-1810
Phone
(763) 656-7416
NPI assigned
Dec 3, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12356 MN Primary

Addresses

Primary practice location

40549 W Parkhill Dr
Maricopa, AZ 85138-1810

Mailing address

40549 W Parkhill Dr
Maricopa, AZ 85138-1810
Phone (763) 656-7416

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
I20250630000112 MN Practitioner - Nurse Practitioner 2860905320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Happy Health PLLCGroup PAC ID 0749593481, 10 clinicians

Practice addresses (Care Compare)

1385 Phalen Blvd
Saint Paul, MN 55106-2126
Phone (612) 819-0597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12356MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Health PLLC CurrentSince May 20, 2025 Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

1385 Phalen Blvd
Saint Paul, MN 55106
Phone (512) 866-1812

6063 Hudson Rd
Ste 300
Woodbury, MN 55125
Phone (651) 259-8663

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1053127209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40549 W PARKHILL DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381810",
            "telephone_number": "763-656-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40549 W PARKHILL DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851381810",
            "telephone_number": "763-656-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTA",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.