Individual provider Active NPI

Linda Mt Helgeson, NP

  • Nurse Practitioner
  • Bemidji, MN
National Provider Identifier
1194910505
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0997553 Issued in MN
Practice address
3807 Greenleaf Ave NW
Bemidji, MN 56601-5817
Phone
(218) 751-9746
Fax
(218) 759-0620
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0997553 MN Primary

Addresses

Primary practice location

3807 Greenleaf Ave NW
Bemidji, MN 56601-5817

Mailing address

3807 Greenleaf Ave NW
Bemidji, MN 56601-5817
Phone (218) 751-9746

Other identifiers 5

IdentifierTypeStateIssuer
HP83855OtherHEALTHPARTNERS
0127904OtherMEDICA
1052867OtherPREFERREDONE
118430200MedicaidMN
1194910505MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2669MNMDProfessional Counselor
R0997553MNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1194910505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 GREENLEAF AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015817",
            "telephone_number": "218-751-9746",
            "fax_number": "218-759-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 GREENLEAF AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015817",
            "telephone_number": "218-751-9746",
            "fax_number": "218-759-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELGESON",
        "first_name": "LINDA",
        "middle_name": "MT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R0997553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP83855",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0127904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1052867",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118430200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194910505",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.