NPIMap

Individual provider Active NPI

Earle C Munns, DO

  • Family Medicine Physician
  • Wabasha, MN
National Provider Identifier
1457329211
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49574 Issued in MN
Practice address
808 12TH St E
Wabasha, MN 55981-1718
Phone
(817) 455-6927
NPI assigned
Mar 9, 2006
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49574 MN Primary

Addresses

Primary practice location

808 12TH St E
Wabasha, MN 55981-1718

Mailing address

808 12TH St E
Wabasha, MN 55981-1718
Phone (817) 455-6927

Other identifiers 1

IdentifierTypeStateIssuer
437480000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070712000186 MN Practitioner - Emergency MedicinePractitioner - Family Practice 2264532894 Reassigns benefits to 6 organizations
I20181018000051 WI Practitioner - Family Practice 2264532894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mille Lacs Health SystemGroup PAC ID 4789577834, 47 clinicians

Practice addresses (Care Compare)

200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-3154

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Itasca Clinic and Hospital CurrentSince Nov 15, 2018 Accepting new patients
Mille Lacs Health System CurrentSince Apr 1, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Aug 1, 2007 Accepting new patients
Range Regional Health Services CurrentSince Sep 11, 2018 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Sep 27, 2018 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Nov 15, 2018 Accepting new patients
Range Regional Health Services Current Accepting new patients
Range Regional Health Services CurrentSince Sep 11, 2018 Accepting new patients
Minnesota Valley Health Center Inc Current Accepting new patients
Mille Lacs Health System CurrentSince Apr 1, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Aug 1, 2007 Accepting new patients

Locations

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

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

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

Interoperability endpoints

  • Direct secure messaging: emunns472621@direct.emplifyhealth.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1457329211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 12TH ST E",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811718",
            "telephone_number": "817-455-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 12TH ST E",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811718",
            "telephone_number": "817-455-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNNS",
        "first_name": "EARLE",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437480000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabasha, MN

Sources for this page

Verify at the official NPI Registry.