Individual provider Active NPI

Alicia Beth Lagarde, FNP

  • Family Nurse Practitioner
  • Duluth, MN
National Provider Identifier
1194594903
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10275 Issued in MN
Practice address
1001 E Superior St Ste 401
Duluth, MN 55802-2229
Phone
(218) 249-6523
Fax
(218) 249-6501
NPI assigned
Dec 21, 2023
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10275 MN Primary

Addresses

Primary practice location

1001 E Superior St Ste 401
Duluth, MN 55802-2229

Mailing address

1001 E Superior St Ste 401
Duluth, MN 55802-2229
Phone (218) 249-6523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 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
I20240503000853 WI Practitioner - Nurse Practitioner 5991145278 Reassigns benefits to 1 organization
I20240503001228 MN Practitioner - Nurse Practitioner 5991145278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

1001 E Superior St
Suite 401
Duluth, MN 55802-2229
Phone (218) 249-7960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Apr 11, 2024 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Apr 11, 2024 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Apr 11, 2024 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1001 E Superior St
Ste 401
Duluth, MN 55802
Phone (218) 249-6523

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900

Interoperability endpoints

  • Direct secure messaging: alagarde237270@direct.aspirus.org

Organizations & group practices 4

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1194594903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E SUPERIOR ST STE 401",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022229",
            "telephone_number": "218-249-6523",
            "fax_number": "218-249-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E SUPERIOR ST STE 401",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022229",
            "telephone_number": "218-249-6523",
            "fax_number": "218-249-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGARDE",
        "first_name": "ALICIA",
        "middle_name": "BETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.