NPIMap

Individual provider Active NPI

Paulina Chalupsky, NP

  • Family Nurse Practitioner
  • Silver Bay, MN
National Provider Identifier
1114369196
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R190097-6 Issued in MN
Practice address
56 Outer Dr
Silver Bay, MN 55614-1133
Phone
(218) 353-8709
Fax
(218) 226-6107
NPI assigned
Jul 19, 2013
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 R190097-6 MN Primary

Addresses

Primary practice location

56 Outer Dr
Silver Bay, MN 55614-1133

Mailing address

56 Outer Dr
Silver Bay, MN 55614-1133
Phone (218) 353-8709

Other practice location 1

400 E 3rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Phone (218) 786-3337

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
I20130826000862 MN Practitioner - Nurse Practitioner 4183867948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

56 Outer Dr
Silver Bay, MN 55614-1133
Phone (218) 226-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R190097-6MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Minnesota-Minnesota Management and Budget CurrentSince Nov 1, 2016 Accepting new patients
State of Minnesota-Minnesota Management and Budget Current Accepting new patients
State of Minnesota-Minnesota Management and Budget CurrentSince Nov 1, 2016 Accepting new patients

Locations

5101 Minnehaha Ave
Minneapolis, MN 55417
Phone (612) 548-5709

5101 Minnehaha Ave
Bldg 10
Minneapolis, MN 55417

56 Outer Dr
Silver Bay, MN 55614
Phone (218) 226-6300

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1114369196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 OUTER DR",
            "city": "SILVER BAY",
            "state": "MN",
            "postal_code": "556141133",
            "telephone_number": "218-353-8709",
            "fax_number": "218-226-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 OUTER DR",
            "city": "SILVER BAY",
            "state": "MN",
            "postal_code": "556141133",
            "telephone_number": "218-353-8709",
            "fax_number": "218-226-6107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_2": "Essentia Health Duluth Clinic",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHALUPSKY",
        "first_name": "PAULINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R190097-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Bay, MN

Sources for this page

Verify at the official NPI Registry.