Individual provider Active NPI

Rachel S Beldo-Rosa, NP

  • Nurse Practitioner
  • Cook, MN
National Provider Identifier
1306284153
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R 179723 1 Issued in MN
Practice address
20 5TH St SE
Cook, MN 55723-9702
Phone
(218) 666-5941
NPI assigned
Jun 13, 2013
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 R 179723 1 MN Primary

Addresses

Primary practice location

20 5TH St SE
Cook, MN 55723-9702

Mailing address

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009001943 MN Practitioner - Nurse Practitioner 8325272180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Area Health Services, IncGroup PAC ID 4880681303, shared by 7 NPIs, 27 clinicians

Practice addresses (Care Compare)

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941

239 McKinley Ave
Eveleth, MN 55734-1606
Phone (218) 741-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 179723 1MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Area Health Services, Inc CurrentSince Feb 6, 2024 Accepting new patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc Family Medicine Current Accepting new patients
Cook Area Health Services, Inc Past Accepting new patients

Locations

135 Pine Tree Dr
Bigfork, MN 56628
Phone (218) 743-3232

20 5th St SE
Cook, MN 55723
Phone (218) 666-5941

239 McKinley Ave
Eveleth, MN 55734
Phone (218) 361-3300

12052 Main St
Northome, MN 56661
Phone (218) 897-5222

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1306284153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 5TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557239702",
            "telephone_number": "218-666-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 5TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557239702",
            "telephone_number": "218-666-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELDO-ROSA",
        "first_name": "RACHEL",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 179723 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cook, MN

Sources for this page

Verify at the official NPI Registry.