Individual provider Active NPI

Harlie R Metag, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Crosby, MN
National Provider Identifier
1518485986
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
7545 Issued in MN
Practice address
320 East Main St
Crosby, MN 56441
Phone
(218) 546-7000
Fax
(218) 546-4400
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 7545 MN Primary
Maternal Newborn Registered Nurse 163WM0102X 214777-0 MN

Addresses

Primary practice location

320 East Main St
Crosby, MN 56441

Mailing address

320 East Main St
Crosby, MN 56441
Phone (218) 546-7000

Other practice location 1

6533 Golden Valley Rd Apt 101
Golden Valley, MN 55427-4662
Phone (320) 815-7935

Other names 1

  • Harlie Cozad Former name

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
I20200921002179 MN Practitioner - Nurse Practitioner 7719305903 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
214777-0MNMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

Interoperability endpoints

  • Direct secure messaging: hcozad180986@excellian.direct.allina.com

Organizations & group practices 6

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1518485986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN ST",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "56441",
            "telephone_number": "218-546-7000",
            "fax_number": "218-546-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN ST",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "56441",
            "telephone_number": "218-546-7000",
            "fax_number": "218-546-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6533 Golden Valley Rd Apt 101",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274662",
            "country_code": "US",
            "telephone_number": "320-815-7935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METAG",
        "first_name": "HARLIE",
        "middle_name": "R",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "7545",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "MN",
            "license": "214777-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARLIE",
            "last_name": "COZAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crosby, MN

Sources for this page

Verify at the official NPI Registry.