Individual provider Active NPI

Theresa M Gunnarson, MD

  • Emergency Medicine Physician
  • Amery, WI
National Provider Identifier
1427026780
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
43477 Issued in WI
Practice address
265 Griffin St E
Amery, WI 54001-1439
Phone
(715) 268-8000
NPI assigned
Mar 10, 2006
Last updated
May 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 43477 WI Primary
Emergency Medicine Physician 207P00000X 40943 MN

Addresses

Primary practice location

265 Griffin St E
Amery, WI 54001-1439

Mailing address

407 E 3Rd St
Essentia Health St. Mary's Medical Center
Duluth, MN 55805-1950
Phone (218) 786-4357

Other practice location 1

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

Other practice location 2

927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 439-5330

Other practice location 3

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Other practice location 4

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456

Other practice location 5

407 E 3rd St
Essentia Health St. Mary's Medical Center
Duluth, MN 55805-1950
Phone (218) 786-4357

Other identifiers 1

IdentifierTypeStateIssuer
406025300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040809000531 WI Practitioner - Emergency Medicine 7618949876 Reassigns benefits to 8 organizations
I20061207000196 MN Practitioner - Emergency Medicine 7618949876 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regions HospitalGroup PAC ID 3173436755, 215 clinicians

Practice addresses (Care Compare)

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
88.69
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40943MNMDEmergency Medicine Physician
43477WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2016 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Regions Hospital CurrentSince Jul 1, 2016 Accepting new patients
Regions Hospital CurrentSince Jul 1, 2016 Accepting new patients
Regions Hospital Emergency Medicine Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jul 1, 2019 Accepting new patients
Hudson Hospital, Inc. CurrentSince Sep 15, 2016 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Jul 1, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 27, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Sep 15, 2016 Accepting new patients
Group Health, Inc. CurrentSince Nov 18, 2023 Accepting new patients
Westfields Hospital, Inc CurrentSince Sep 15, 2016 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jul 1, 2019 Accepting new patients
Group Health, Inc. CurrentSince Jan 22, 2017 Accepting new patients
Lakeview Memorial Hospital Association Inc. Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Westfields Hospital, Inc. CurrentSince Sep 15, 2016 Accepting new patients
Group Health, Inc. CurrentSince Jan 22, 2017 Accepting new patients
Hudson Hospital, Inc Past Accepting new patients
Westfields Hospital, Inc. Past Accepting new patients
Amery Regional Medical Center, Inc. Past Accepting new patients

Locations

15350 English Ave
Apple Valley, MN 55124
Phone (952) 431-8500

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

14701 Victor Hugo Blvd N
Hugo, MN 55038
Phone (651) 426-1141

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100

2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200

3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1500 Curve Crest Blvd W
Stillwater, MN 55082

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

8450 Seasons Pkwy
Stop 32900A
Woodbury, MN 55125
Phone (651) 702-5300

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0308

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

411 Stageline Rd
#200
Hudson, WI 54016
Phone (715) 531-6700

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 12

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1427026780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 3RD ST",
            "address_2": "ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051950",
            "telephone_number": "218-786-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 GRIFFIN ST E",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011439",
            "telephone_number": "715-268-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Churchill St W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826605",
            "country_code": "US",
            "telephone_number": "651-439-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 E 3rd St",
            "address_2": "Essentia Health St. Mary's Medical Center",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051950",
            "country_code": "US",
            "telephone_number": "218-786-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNNARSON",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "43477",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "40943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406025300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amery, WI

Sources for this page

Verify at the official NPI Registry.