Individual provider Active NPI

Gretchen Elaine Gerlich, APNP

  • Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1154019164
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10026 Issued in MN
Practice address
8401 Seasons Pkwy Ste 300
Woodbury, MN 55125-3476
Phone
(888) 938-3838
Fax
(888) 919-1083
NPI assigned
Apr 27, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10026 MN
Nurse Practitioner 363L00000X 10026 MN Primary

Addresses

Primary practice location

8401 Seasons Pkwy Ste 300
Woodbury, MN 55125-3476

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other practice location 1

4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 55449-4544
Phone (888) 938-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230703002305 MN Practitioner - Nurse Practitioner 4284093600
I20250115001434 WI Practitioner - Nurse Practitioner 4284093600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians

Practice addresses (Care Compare)

2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10026MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Ladd Memorial Hospital Past Accepting new patients

Locations

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1154019164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 SEASONS PKWY STE 300",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253476",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4365 Pheasant Ridge Dr NE Ste 106",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554494544",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERLICH",
        "first_name": "GRETCHEN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10026",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "10026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.