Active NPI
Theresa Ludewig, N.P.
- Nurse Practitioner
- Mankato, MN
National Provider Identifier
1265890412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP4371
- Practice address
- 1431 Premier Dr
Mankato, MN 56001-6076 - Phone
- (507) 386-6600
- NPI assigned
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP4371 | MN | Primary |
Addresses
Primary practice location
1431 Premier Dr
Mankato, MN 56001-6076
Mailing address
1431 Premier Dr
Mankato, MN 56001-6076
Phone (507) 386-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4371 | Other | MN | CNP LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmcgowan90480@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1431 Premier Dr
Mankato, MN 56001-6076
Phone (507) 386-6600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4371 | MN | MD | Chiropractor |
| CNP4371 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Fracture Clinic, P.a. | Current | Accepting new patients | |
| River'S Edge Hospital & Clinic | Past | Accepting new patients |
Locations
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
1431 Premier Dr
Mankato, MN 56001
Phone (507) 386-4277
1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200
Interoperability endpoints
- theresamcgowan@ofc.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Mankato, MN
- NPI 1659346609
-
- Critical Access Hospital
- St Peter, MN
- NPI 1407849367
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New Ulm, MN
- NPI 1346437720
-
- Critical Access Hospital
- New Ulm, MN
- NPI 1558328435
-
- Critical Access Hospital
- Redwood Falls, MN
- NPI 1194206748
-
- Critical Access Hospital
- Madelia, MN
- NPI 1912999137
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
-
- Critical Access Hospital
- Windom, MN
- NPI 1841288644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1265890412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 PREMIER DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 PREMIER DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDEWIG",
"first_name": "THERESA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "CNP4371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNP LICENSE",
"identifier": "4371",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmcgowan90480@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1015 Marsh St",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560014752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.