Individual provider Active NPI

Amy Marie Westrick, APRN, CNP

  • Family Nurse Practitioner
  • Duluth, MN
National Provider Identifier
1275828469
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1566 Issued in MN
Practice address
1502 London Rd Ste 102
Duluth, MN 55812-1787
Phone
(218) 576-0100
Fax
(218) 576-0126
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1566 MN Primary
Family Nurse Practitioner 363LF0000X R 161374-2 MN

Addresses

Primary practice location

1502 London Rd Ste 102
Duluth, MN 55812-1787

Mailing address

400 E 3Rd St
McL2Cred
Duluth, MN 55805-1951
Phone (218) 786-3146

Other identifiers 1

IdentifierTypeStateIssuer
1275828469MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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
I20110914000820 MN Practitioner - Nurse Practitioner 5193996577 Reassigns benefits to 4 organizations
I20180821004055 WI Practitioner - Nurse Practitioner 5193996577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, shared by 25 NPIs, 1,135 clinicians

Practice addresses (Care Compare)

1502 London Rd
Suite 102
Duluth, MN 55812-1787
Phone (218) 727-8228

400 E 3Rd St
Duluth, MN 55805-1951

Hospital & facility affiliations

  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8422WIMDPharmacist
1566MNMDFamily Nurse Practitioner
R 161374-2MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD CurrentSince Jul 3, 2018 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Mar 1, 2021 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St. Mary'S Hospital of Superior CurrentSince Jan 1, 2026 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Essentia Health Virginia, LLC CurrentSince Dec 5, 2016 Accepting new patients
The Duluth Clinic, LTD CurrentSince Nov 26, 2018 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
St. Mary'S Duluth Clinic Health System Current Accepting new patients
Essentia Health Virginia, LLC CurrentSince Dec 5, 2016 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jul 3, 2018 Accepting new patients
St. Mary'S Hospital of Superior CurrentSince Aug 1, 2019 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Mar 1, 2021 Accepting new patients
Duluth Graduate Medical Education Council Inc Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

1502 London Rd
Ste 102
Duluth, MN 55812
Phone (218) 576-0100

400 E 3rd St
#2
Duluth, MN 55805
Phone (218) 786-8319

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500

300 W Conan St
Ely, MN 55731
Phone (218) 365-7900

4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540

1120 E 34th St
Hibbing, MN 55746
Phone (218) 362-7100

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

11134 N State Road 77
Hayward, WI 54843
Phone (715) 634-5505

15495 County Road B
Hayward, WI 54843
Phone (715) 634-2641

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1275828469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "address_2": "MCL2CRED",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD STE 102",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121787",
            "telephone_number": "218-576-0100",
            "fax_number": "218-576-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRICK",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "1566",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 161374-2",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275828469",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.