Darci Leigh Pelland, RN, CNP
Individual provider Active NPI Family Nurse Practitioner · International Falls, MN
NPI 1063705689 · NPPES record last updated May 17, 2011
Key facts
- NPI
- 1063705689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R156731-9 (MN)
- Practice address
- 2501 Keenan Dr
Rainy Lake Medical Center Clinic
International Falls, MN 56649-2181 - Phone
- (218) 283-9431
- NPI assigned
- May 17, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- International Falls Memorial Hospital Association
Practice addresses (Care Compare)
1400 Hwy 71
International Falls, MN 56649-2154
Phone (218) 283-4481
Hospital & facility affiliations
- Rainy Lake Medical Center
- Sanford Bemidji Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111012000151 | MN | Practitioner - Nurse Practitioner | 7810169083 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R156731-9 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Essentia Health Virginia, LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
600 Main Ave S
Birchdale, MN 56623
Phone (218) 634-1655
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
2501 Keenan Dr
Intl Falls, MN 56649
Phone (218) 283-4481
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
901 9th St N
Virginia, MN 55792
Phone (218) 741-3340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R156731-9 | MN | Yes |
Addresses
Primary practice location
2501 Keenan Dr
Rainy Lake Medical Center Clinic
International Falls, MN 56649-2181
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 283-9431
Other providers in International Falls, MN
- Northland Counseling Center Kooch Office
- Northland Counseling Center, Inc.
- Northwoods Villa Inc.
- Northwoods Villa Inc.
- Lacy Palmer
- Rebecca Jayne Poolman
- Posh Relief, LLC
- Gary Lee Potter
- Rainy Lake Chiropractic Clinic, P.a.
- Rainy Lake Natural Healthcare, Inc.
All providers in International Falls, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.