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Individual provider Active NPI

Rebecca Leigh Wachsmuth, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, MN
National Provider Identifier
1194272781
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP4740 Issued in MN
Practice address
24 N 21St Ave W
Duluth, MN 55806-2017
Phone
(715) 813-0212
NPI assigned
Sep 1, 2016
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP4740 MN Primary

Addresses

Primary practice location

24 N 21St Ave W
Duluth, MN 55806-2017

Mailing address

1015 Broadway St
Superior, WI 54880-1856
Phone (715) 813-0212

Other names 1

  • Rebecca Leigh Marquardt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913001645 MN Practitioner - Nurse Practitioner 3870889157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Tranquility Mental Health ServicesGroup PAC ID 4981009479, 6 clinicians

Practice addresses (Care Compare)

12 W Lake St
Chisholm, MN 55719-1817
Phone (218) 254-0101

24 N 21St Ave W
Duluth, MN 55806-2017
Phone (715) 813-0212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP4740MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Hospital of Superior Current Accepting new patients
Rebecca Leigh Wachsmuth Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Northern Waters Clinic Current Accepting new patients
Northern Tranquility Mental Health Services CurrentSince Jun 15, 2023 Accepting new patients
Psych North PLLC Psychiatric/Mental Health CurrentSince Jun 12, 2024 Accepting new patients

Locations

12 W Lake St
Chisholm, MN 55719
Phone (218) 254-0101

24 N 21st Ave W
Duluth, MN 55806
Phone (715) 813-0212

1101 E 37th St
Ste 5
Hibbing, MN 55746
Phone (218) 208-0019

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 5

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1194272781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BROADWAY ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801856",
            "telephone_number": "715-813-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N 21ST AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558062017",
            "telephone_number": "715-813-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSMUTH",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP4740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MARQUARDT",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.