Individual provider Active NPI

Sarah Myer, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Branch, MN
National Provider Identifier
1114465135
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP5004 Issued in MN
Practice address
38868 12TH Ave # 1083
North Branch, MN 55056-6658
Phone
(651) 401-5626
Fax
(612) 500-4553
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP5004 MN Primary
Pediatric Nurse Practitioner 363LP0200X CNP 5004 MN

Addresses

Primary practice location

38868 12TH Ave # 1083
North Branch, MN 55056-6658

Mailing address

38868 12TH Ave # 1083
North Branch, MN 55056-6658
Phone (651) 333-3677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170309002307 MN Practitioner - Nurse Practitioner 0345524443 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP 5004MNMDPediatric Nurse Practitioner
CNP5004MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince May 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Jun 17, 2022 Accepting new patients
Branch Mental Health PLLC CurrentSince Oct 29, 2023 Accepting new patients
Fairview Express Care CurrentSince May 1, 2022 Accepting new patients
Fairview Health Services CurrentSince Jun 17, 2022 Accepting new patients
Nystrom & Associates, LTD CurrentSince Apr 1, 2017 Accepting new patients
Fairview Express Care Current Accepting new patients
Peak Behavioral Health, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

817 Main St N
Cambridge, MN 55008
Phone (763) 325-0300

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

3833 Coon Rapids Blvd NW
Ste 120
Minneapolis, MN 55433
Phone (763) 433-2000

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

38868 12th Ave
#1083
North Branch, MN 55056
Phone (651) 401-5626

38868 12th Ave
Ste 1083
North Branch, MN 55056

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1114465135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38868 12TH AVE # 1083",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "651-333-3677",
            "fax_number": "612-500-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38868 12TH AVE # 1083",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "651-401-5626",
            "fax_number": "612-500-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYER",
        "first_name": "SARAH",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP5004",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "CNP 5004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

Verify at the official NPI Registry.