Individual provider Active NPI

Charlotte Melisa Sweere, BSN, RN, PHN

  • Registered Nurse
  • Otsego, MN
National Provider Identifier
1235062688
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1978526 Issued in MN
Practice address
9000 Quantrelle Ave NE Ste 200
Otsego, MN 55330-1041
Phone
(763) 633-3800
Fax
(763) 633-3808
NPI assigned
Jun 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1978526 MN Primary

Addresses

Primary practice location

9000 Quantrelle Ave NE Ste 200
Otsego, MN 55330-1041

Mailing address

9000 Quantrelle Ave NE Ste 200
Otsego, MN 55330-1041
Phone (763) 633-3800

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1978526MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1235062688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 QUANTRELLE AVE NE STE 200",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553301041",
            "telephone_number": "763-633-3800",
            "fax_number": "763-633-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 QUANTRELLE AVE NE STE 200",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553301041",
            "telephone_number": "763-633-3800",
            "fax_number": "763-633-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEERE",
        "first_name": "CHARLOTTE",
        "middle_name": "MELISA",
        "credential": "BSN, RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1978526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.