Individual provider Active NPI

Josie Bungert, RN

  • Registered Nurse
  • Blaine, MN
National Provider Identifier
1346153186
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2485760 Issued in MN
Practice address
11760 Madison St NE
Blaine, MN 55434-3008
Phone
(763) 477-8095
NPI assigned
Sep 23, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2485760 MN Primary

Addresses

Primary practice location

11760 Madison St NE
Blaine, MN 55434-3008

Mailing address

11760 Madison St NE
Blaine, MN 55434-3008
Phone (763) 477-8095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1346153186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 MADISON ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343008",
            "telephone_number": "763-477-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 MADISON ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343008",
            "telephone_number": "763-477-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGERT",
        "first_name": "JOSIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2485760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.