Individual provider Active NPI

Emily Ann Huper, DNP

  • Family Nurse Practitioner
  • Blue Earth, MN
National Provider Identifier
1063129708
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9787 Issued in MN
Practice address
515 S Moore St
Blue Earth, MN 56013-2158
Phone
(507) 526-7388
NPI assigned
Nov 2, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2503961 MN
Family Nurse Practitioner 363LF0000X 9787 MN Primary

Addresses

Primary practice location

515 S Moore St
Blue Earth, MN 56013-2158

Mailing address

515 S Moore St
Blue Earth, MN 56013-2158

Other names 1

  • Emily Ann Dahl Former name

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
I20230113001271 MN Practitioner - Nurse Practitioner 3870964695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
United Hospital District IncGroup PAC ID 6204158884, 50 clinicians

Practice addresses (Care Compare)

55 1St St SE
Wells, MN 56097-1601
Phone (507) 553-6550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2503961MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospital District Inc. CurrentSince Jan 3, 2023 Accepting new patients
Fairmont Orthopedics & Sports Medicine, PA PastSince Jan 3, 2023 Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients

Locations

515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273

55 1st St SE
Wells, MN 56097
Phone (507) 553-6550

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1063129708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S MOORE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MOORE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132158",
            "telephone_number": "507-526-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPER",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2503961",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "DAHL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Earth, MN

Sources for this page

Verify at the official NPI Registry.