Individual provider Active NPI

Nadine Theresa Hoven, RN, CNS, CNP

  • Nurse Practitioner
  • Hermantown, MN
National Provider Identifier
1487872107
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3645 Issued in MN
Practice address
4135 Richard Ave Ste 201
Hermantown, MN 55811-2979
Phone
(218) 591-9126
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R167986-7 MN
Nurse Practitioner 363L00000X 3645 MN Primary

Addresses

Primary practice location

4135 Richard Ave Ste 201
Hermantown, MN 55811-2979

Mailing address

4135 Richard Ave Ste 201
Hermantown, MN 55811-2979
Phone (218) 591-9126

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
I20110525000424 MN Practitioner - Certified Clinical Nurse Specialist (CNS) 2163608209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
HP Psychological Associates PCGroup PAC ID 1951658152, 9 clinicians
Compassionate Quality Psychiatry LLCGroup PAC ID 9537533013, 2 clinicians

Practice addresses (Care Compare)

4135 Richard Ave
Suite 201
Hermantown, MN 55811-2979
Phone (218) 464-0908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
3645MNMDNurse Practitioner
R167986-7MNMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
HP Psychological Associates, PC CurrentSince Jan 1, 2023 Accepting new patients
Compassionate Quality Psychiatry PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

4135 Richard Ave
Ste 201
Hermantown, MN 55811
Phone (218) 464-0908

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1487872107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 RICHARD AVE STE 201",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112979",
            "telephone_number": "218-591-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 RICHARD AVE STE 201",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112979",
            "telephone_number": "218-591-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVEN",
        "first_name": "NADINE",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "RN, CNS, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "R167986-7",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermantown, MN

Sources for this page

Verify at the official NPI Registry.