NPIMap

Individual provider Active NPI

Erin R Thielbar, FNP-C

  • Family Nurse Practitioner
  • Virginia, MN
National Provider Identifier
1063828614
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
169642-6 Issued in MN
Practice address
8373 Unity Dr
Virginia, MN 55792-4005
Phone
(218) 748-7480
Fax
(218) 748-7488
NPI assigned
Jul 3, 2014
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 169642-6 MN
Family Nurse Practitioner 363LF0000X 169642-6 MN Primary

Addresses

Primary practice location

8373 Unity Dr
Virginia, MN 55792-4005

Mailing address

8373 Unity Dr
Virginia, MN 55792-4005
Phone (218) 748-7480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917000989 MN Practitioner - Nurse Practitioner 9436378817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Area Health Services, IncGroup PAC ID 4880681303, 27 clinicians

Practice addresses (Care Compare)

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941

239 McKinley Ave
Eveleth, MN 55734-1606
Phone (218) 741-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169642-6MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc Past Accepting new patients

Locations

135 Pine Tree Dr
Bigfork, MN 56628
Phone (218) 743-3232

20 5th St SE
Cook, MN 55723
Phone (218) 666-5941

239 McKinley Ave
Eveleth, MN 55734
Phone (218) 361-3300

Organizations & group practices 4

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1063828614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8373 UNITY DR",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557924005",
            "telephone_number": "218-748-7480",
            "fax_number": "218-748-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8373 UNITY DR",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557924005",
            "telephone_number": "218-748-7480",
            "fax_number": "218-748-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELBAR",
        "first_name": "ERIN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "169642-6",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "169642-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.