Individual provider Active NPI

Wendi Tvedt

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MN
National Provider Identifier
1467020842
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8548 Issued in MN
Practice address
145 2ND Ave SE
Cambridge, MN 55008-1602
Phone
(320) 496-4663
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1243361 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8548 MN Primary

Addresses

Primary practice location

145 2ND Ave SE
Cambridge, MN 55008-1602

Mailing address

145 2ND Ave SE
Cambridge, MN 55008-1602

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
I20230225000430 MN Practitioner - Nurse Practitioner 0446623243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Beth a Good DNP Aprn Pmhcns-BC LLCGroup PAC ID 8527311216, 9 clinicians

Practice addresses (Care Compare)

145 2ND Ave SE
Cambridge, MN 55008-1602
Phone (320) 496-4663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1243361MNMDRegistered Nurse
8548MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Beth a. Good DNP, Aprn, Pmhcns-BC, LLC Psychiatric/Mental Health CurrentSince Feb 18, 2024 Accepting new patients
Dr. Beth a. Good DNP, Aprn, Pmhcns-BC, LLC CurrentSince Nov 16, 2022 Accepting new patients

Locations

145 2nd Ave SE
Cambridge, MN 55008
Phone (320) 496-4663

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1467020842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 2ND AVE SE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 2ND AVE SE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081602",
            "telephone_number": "320-496-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TVEDT",
        "first_name": "WENDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1243361",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

Verify at the official NPI Registry.