Individual provider Active NPI

Emily Bail, RN

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1447879119
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7822 Issued in MN
Practice address
525 Portland Ave
Minneapolis, MN 55415-1533
Phone
(612) 625-3627
NPI assigned
Apr 13, 2020
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7822 MN Primary
Registered Nurse 163W00000X 2485067 MN

Addresses

Primary practice location

525 Portland Ave
Minneapolis, MN 55415-1533

Mailing address

3712 12TH Ave S
Minneapolis, MN 55407-2706
Phone (305) 898-1079

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
I20201229001477 MN Practitioner - Nurse Practitioner 2961815535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin CountyGroup PAC ID 7911892849, 132 clinicians

Practice addresses (Care Compare)

525 Portland Ave S MC
Suite 952
Minneapolis, MN 55415-1569
Phone (612) 543-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2485067MNMDRegistered Nurse
7822MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Minnesota CurrentSince Nov 30, 2020 Accepting new patients
Hennepin County CurrentSince Apr 24, 2023 Accepting new patients
Regents of the University of Minnesota CurrentSince Nov 30, 2020 Accepting new patients
Hennepin County Current Accepting new patients
Hennepin County CurrentSince Apr 24, 2023 Accepting new patients

Locations

2001 Bloomington Ave
Minneapolis, MN 55404
Phone (612) 301-3433

525 Portland Ave
Minneapolis, MN 55415
Phone (612) 348-8824

9600 Aldrich Ave S
#658
Minneapolis, MN 55420

Organizations & group practices 5

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1447879119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 12TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072706",
            "telephone_number": "305-898-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-625-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIL",
        "first_name": "EMILY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7822",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2485067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.