Adam Tanner Hermes, PA-C
Individual provider Active NPI Surgical Physician Assistant · Duluth, MN
NPI 1104133727 · NPPES record last updated Jan 23, 2018
Key facts
- NPI
- 1104133727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 12416 (MN)
- Practice address
- 1000 E 1St St Ste 400
Duluth, MN 55805-2297 - Phone
- (218) 722-5513
- Fax
- (218) 722-6515
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 28
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic Associates of Duluth PA
Range Regional Health Services
Practice addresses (Care Compare)
1000 E 1St St
Duluth, MN 55805-2297
Phone (218) 722-5513
402 E Platt Ave
Nashwauk, MN 55769-1147
Phone (218) 885-2858
Hospital & facility affiliations
- Ely - Bloomenson Community Hospital
- Range Regional Health Services
- St Lukes Hospital
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 |
|---|---|---|---|---|
| I20170706003017 | MN | Practitioner - Physician Assistant | 5395861579 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12416 | MN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Itasca Clinic and Hospital | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Ely-Bloomenson Community Hospital | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Ely Bloomenson Community Hospital and Nursing Home | Past | Accepting new patients |
Locations
328 W Conan St
Ely, MN 55731
Phone (218) 365-3271
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 12416 | MN | Yes |
Addresses
Primary practice location
1000 E 1St St Ste 400
Duluth, MN 55805-2297
Mailing address
1000 E 1St St Ste 400
Duluth, MN 55805-2297
Phone (218) 722-5513
Other names
- Mr. Tanner Hermes
Other providers in Duluth, MN
- Heritage Haven Inc
- Ashley Herman
- Carol Allert Herman
- David C. Herman
- Donald Hermanson
- Pamela J Hermes
- Deborah Hernandez
- Stephen Thomas Hero
- Kimberly Marie Herrig
- Colton Herring
All providers in Duluth, MN · Surgical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2018. 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.