Michelle L Carl, APRN,CNP
Individual provider Active NPI Family Nurse Practitioner · Hermantown, MN
NPI 1316589591 · NPPES record last updated Oct 9, 2019
Key facts
- NPI
- 1316589591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP6851 (MN)
- Practice address
- 4855 W Arrowhead Rd
Hermantown, MN 55811-3936 - Phone
- (218) 786-3540
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 39
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Innovis Health LLC
The Duluth Clinic LTD
Practice addresses (Care Compare)
4110 51St Ave S
Fargo, ND 58104-7776
Phone (701) 364-3100
4855 W Arrowhead Rd
Hermantown, MN 55811-3936
Phone (218) 786-3540
Hospital & facility affiliations
- Essentia Health Duluth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191031001150 | MN | Practitioner - Nurse Practitioner | 2365774940 | Reassigns benefits to 3 organizations |
| I20240229002890 | ND | Practitioner - Nurse Practitioner | 2365774940 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health, LLC | Current |
Accepting new patients | |
| St. Mary'S Medical Center | Current |
Accepting new patients | |
| Innovis Health, LLC | Current |
Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| St Marys Medical Center | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current |
Accepting new patients | |
| St. Mary'S Medical Center | Current |
Accepting new patients |
Locations
402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540
208 Oppegard Ave NW
Twin Valley, MN 56584
Phone (218) 584-5181
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
4110 51st Ave S
Fargo, ND 58104
Phone (701) 364-3100
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP6851 | MN | Yes |
Addresses
Primary practice location
4855 W Arrowhead Rd
Hermantown, MN 55811-3936
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Other providers in Hermantown, MN
- Alexander J Burrwig
- Mallory Buttrick
- Vanessa Rose Carey
- Caringedge Healthcare of Hermantown LLC
- Caringedge Hospice of Hermantown LLC
- Darlene Evelyn Carlson
- Tayva Grace Carruthers
- Veronica Lynn Carson
- Kayla Caruso
- Adison Wade Catt
All providers in Hermantown, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.