Individual provider Active NPI

Audrey Jean Wuori, APRN, CNP, FNP-C

  • Family Nurse Practitioner
  • Bemidji, MN
National Provider Identifier
1366120958
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10420 Issued in MN
Practice address
1741 15TH St NW
Bemidji, MN 56601-8755
Phone
(218) 751-6553
NPI assigned
Jul 5, 2023
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10420 MN Primary

Addresses

Primary practice location

1741 15TH St NW
Bemidji, MN 56601-8755

Mailing address

1741 15TH St NW
Bemidji, MN 56601-8755
Phone (218) 751-6553

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
I20241029000771 MN Practitioner - Nurse Practitioner 5193188100 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10420MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Sep 18, 2024 Accepting new patients

Locations

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 1

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1366120958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 15TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018755",
            "telephone_number": "218-751-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 15TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018755",
            "telephone_number": "218-751-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUORI",
        "first_name": "AUDREY",
        "middle_name": "JEAN",
        "credential": "APRN, CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.