Individual provider Active NPI

Nathan M Kunzler, MD

  • Emergency Medicine Physician
  • St Paul, MN
National Provider Identifier
1457700593
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
267857 Issued in MA
Practice address
Regions Hospital
640 Jackson Street, #1102F
St Paul, MN 55101
Phone
(801) 529-7582
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 267857 MA Primary

Addresses

Primary practice location

Regions Hospital
640 Jackson Street, #1102F
St Paul, MN 55101

Mailing address

Regions Hospital
640 Jackson Street, #1102F
St Paul, MN 55101

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
I20200623002882 WI Practitioner - Emergency Medicine 2365738184 Reassigns benefits to 5 organizations
I20201023002827 MN Practitioner - Emergency Medicine 2365738184 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
St Marys Medical CenterGroup PAC ID 6901706357, 91 clinicians
Essentia Health Virginia LLCGroup PAC ID 7810149002, 64 clinicians

Practice addresses (Care Compare)

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

402 E 2ND St
Duluth, MN 55805-1906
Phone (218) 786-3443

901 9TH St N
Virginia, MN 55792-2325
Phone (218) 741-3340

Hospital & facility affiliations

  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002
  • Essentia Health Virginia Hospital, Virginia, MN, CCN 240084
  • St Marys Hospital Superior Hospital, Superior, WI, CCN 521329
  • Essentia Health Northern Pines Medical Center Hospital, Aurora, MN, CCN 241340
  • Essentia Health Sandstone Hospital, Sandstone, MN, CCN 241309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essentia Health Moose Lake CurrentSince Aug 29, 2022 Accepting new patients
Northern Pines Medical Center CurrentSince Aug 29, 2022 Accepting new patients
Pine Medical Center CurrentSince Aug 29, 2022 Accepting new patients
Essentia Health Moose Lake CurrentSince Aug 29, 2022 Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Westfields Hospital, Inc CurrentSince Jul 1, 2020 Accepting new patients
Northern Pines Medical Center CurrentSince Aug 29, 2022 Accepting new patients
St Marys Medical Center CurrentSince Aug 29, 2022 Accepting new patients
St Mary'S Hospital of Superior CurrentSince Aug 29, 2022 Accepting new patients
St. Mary'S Medical Center CurrentSince Aug 29, 2022 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Pine Medical Center CurrentSince Aug 29, 2022 Accepting new patients
The Duluth Clinic, LTD CurrentSince Aug 29, 2022 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Aug 29, 2022 Accepting new patients
Essentia Health Virginia, LLC CurrentSince Aug 29, 2022 Accepting new patients
St. Mary'S Duluth Clinic Health System Current Accepting new patients
St. Mary'S Hospital of Superior Current Accepting new patients
Hudson Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Emergency Care Consultants, PA Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
St. Mary'S Hospital of Superior CurrentSince Aug 29, 2022 Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

640 Jackson St
#1102F
Saint Paul, MN 55101
Phone (651) 254-3666

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

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

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

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

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

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 24

Hospital & facility affiliations 9

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1457700593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REGIONS HOSPITAL",
            "address_2": "640 JACKSON STREET, #1102F",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REGIONS HOSPITAL",
            "address_2": "640 JACKSON STREET, #1102F",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55101",
            "telephone_number": "801-529-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZLER",
        "first_name": "NATHAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "267857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

Verify at the official NPI Registry.