Duane Malterud, DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

10385 Issued in MN

Practice address

190 Sailstar Drive NW
Cass Lake, MN 56633

Phone

(218) 335-4500

NPI assigned

Jul 25, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1164102083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30502 360TH ST",
            "city": "LAPORTE",
            "state": "MN",
            "postal_code": "564614043",
            "telephone_number": "218-556-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SAILSTAR DRIVE NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "56633",
            "telephone_number": "218-335-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTERUD",
        "first_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "10385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Kathleen Lingen, MD
• Ladonna Therese Lock, PHARMD
• Oluwasikemi A Lotsu, PHARM.D
• Loretta Jean Lynne, RN
• Birdena M Lyons, LPN
• Jessica Rose Malterud, BSN, PHN, RN
• Constance J Mangiamele, APRN
• Rachel Marie Markham
• Roberta L Marsolek, RN
• Lindsey Renee Marvel, O.D.

• Primary Care Nurse Practitioner in Cass Lake, MN
• Providers in Cass Lake, MN by specialty
• Primary Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.