Paulina Chalupsky, NP
Individual provider Active NPI Family Nurse Practitioner · Silver Bay, MN
NPI 1114369196 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1114369196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R190097-6 (MN)
- Practice address
- 56 Outer Dr
Silver Bay, MN 55614-1133 - Phone
- (218) 353-8709
- Fax
- (218) 226-6107
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 39
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Minnesota-Minnesota Management and Budget
Practice addresses (Care Compare)
56 Outer Dr
Silver Bay, MN 55614-1133
Phone (218) 226-6300
Hospital & facility affiliations
- Aspirus Lake View Hospital
- St Lukes Hospital
- Aspirus Wausau 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 |
|---|---|---|---|---|
| I20130826000862 | MN | Practitioner - Nurse Practitioner | 4183867948 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R190097-6 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Minnesota-Minnesota Management and Budget | Current |
Accepting new patients | |
| State of Minnesota-Minnesota Management and Budget | Current |
Accepting new patients | |
| State of Minnesota-Minnesota Management and Budget | Current | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R190097-6 | MN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114369196 | Medicaid | MI | |
| 1114369196 | Medicaid | WI | |
| 0001-0103723 | Other | MN | MEDICA |
Other providers in Silver Bay, MN
- Julie Ann Boll
- Sally Lynn Bruestle
- Andrew J Buell
- Kaylee Cahill Mathews
- Thomas Matthew Clifford
- Julee M Dehart
- Joann Kelly Dingmann
- Firstsolutions
- Heather Marie Goutermont
All providers in Silver Bay, 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 Oct 24, 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.