Individual provider Active NPI

Tarna L Squires, APRN,CNP

  • Family Nurse Practitioner
  • Baxter, MN
National Provider Identifier
1124793369
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8563 Issued in MN
Practice address
14241 Grand Oaks Dr
Baxter, MN 56425-8749
Phone
(218) 316-3101
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 8563 MN
Family Nurse Practitioner 363LF0000X 8563 MN Primary

Addresses

Primary practice location

14241 Grand Oaks Dr
Baxter, MN 56425-8749

Mailing address

14241 Grand Oaks Dr
Baxter, MN 56425-8749
Phone (218) 316-3101

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
I20211011000987 MN Practitioner - Nurse Practitioner 4880092550 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8563MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health Hospital-Baxter CurrentSince Mar 1, 2025 Accepting new patients

Locations

14241 Grand Oaks Dr
Baxter, MN 56425
Phone (218) 316-3101

Organizations & group practices 1

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1124793369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 GRAND OAKS DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258749",
            "telephone_number": "218-316-3101",
            "fax_number": "218-829-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 GRAND OAKS DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258749",
            "telephone_number": "218-316-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "TARNA",
        "middle_name": "L",
        "credential": "APRN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MN",
            "license": "8563",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.