Individual provider Active NPI

Ari Nelson

  • Psychiatric/Mental Health Nurse Practitioner
  • Cloquet, MN
National Provider Identifier
1356193288
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11816 Issued in MN
Practice address
1618 Cloquet Ave
Cloquet, MN 55720-1948
Phone
(218) 451-2116
Fax
(218) 499-7002
NPI assigned
Apr 3, 2024
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11816 MN Primary

Addresses

Primary practice location

1618 Cloquet Ave
Cloquet, MN 55720-1948

Mailing address

1618 Cloquet Ave
Cloquet, MN 55720-1948
Phone (218) 451-2116

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
I20250122001750 MN Practitioner - Nurse Practitioner 1355870262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1804 Cloquet Ave
Cloquet, MN 55720-2141
Phone (218) 879-2119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11816MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Community Services LLC CurrentSince Feb 24, 2025 Accepting new patients
Birch & Pine Counseling PLLP PastSince May 1, 2022 Accepting new patients

Locations

1804 Cloquet Ave
Cloquet, MN 55720
Phone (218) 600-5303

130 W Superior St
Ste 610
Duluth, MN 55802
Phone (218) 879-2119

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1356193288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201948",
            "telephone_number": "218-451-2116",
            "fax_number": "218-499-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201948",
            "telephone_number": "218-451-2116",
            "fax_number": "218-499-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.