Rebecca Leigh Wachsmuth

Key facts

NPI

1265309348

Entity type

Organization (NPI type 2)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Legal business name

REBECCA LEIGH WACHSMUTH

Practice address

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

Phone

(715) 813-0212

NPI assigned

Oct 22, 2025

Organization subpart

No

Authorized official

Name

Rebecca Leigh Wachsmuth, CNP NPI 1194272781

Title

Owner

Phone

(715) 813-0212

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Leigh Wachsmuth, CNP Psychiatric/Mental Health Nurse Practitioner · Duluth, MN · NPI 1194272781
  Medicare reassignment NPD Authorized official MN · PSYCHIATRIC/MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2025.

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1265309348",
    "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": {
        "organization_name": "REBECCA LEIGH WACHSMUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "WACHSMUTH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-813-0212",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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