Patty-Jo Katherine Mantel, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4923 Issued in MN

Practice address

2680 Snelling Ave N Ste 200
Roseville, MN 55113-1879

Phone

(651) 364-9381

Fax

(651) 364-9382

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmantel652358@ehrdirect.mayoclinicmsg.org

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.

• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  Medicare reassignment Care Compare group NPD
• William B Orr Consulting PA

  • Geriatric Psychiatry Physician
  • Saint Paul, MN
  • NPI 1679802797
  Medicare reassignment NPD
• PM Telehealth Services

  • Nurse Practitioner
  • Bloomington, MN
  • NPI 1548918261
  NPD
• 1977 Enterprise LLC

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1952009995

  Family

  NPD (past)
• Aderis Health Technologies

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1124751821

  Family

  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1508376732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 MORRIS CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372801",
            "telephone_number": "952-857-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 SNELLING AVE N STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131879",
            "telephone_number": "651-364-9381",
            "fax_number": "651-364-9382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10416 Morris Cir",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554372801",
            "country_code": "US",
            "telephone_number": "952-857-9165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTEL",
        "first_name": "PATTY-JO",
        "middle_name": "KATHERINE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "4923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "4923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindra Lee Mahowald, R.N.
• Kim T Mai, PHARMD
• Kim Marie Makousky
• Stephanie Anne Mallak, R.N.
• Courtnie Mann
• Christine Lee Manthey, MA, LPC
• Maple Psychiatry
• Michael Marcum, LADC
• Brian Scott Martell, M.D.
• Sharon Mason, M.A. L.P.

• Family Nurse Practitioner in Roseville, MN
• Providers in Roseville, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.