Emily Abernethy, NP
Individual provider Active NPI Nurse Practitioner · Duluth, MN
NPI 1568089340 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1568089340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 7495 (MN)
- Practice address
- 1001 E Superior St Ste 401
Duluth, MN 55802-2229 - Phone
- (218) 249-7960
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Luke'S Hospital of Duluth
Practice addresses (Care Compare)
1001 E Superior St
Suite 401
Duluth, MN 55802-2229
Phone (218) 249-7960
109 N 28TH St E
Superior, WI 54880-6548
Phone (715) 395-3900
Hospital & facility affiliations
- St Lukes Hospital
- Ecumen Lakeshore
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201006002609 | MN | Practitioner - Nurse Practitioner | 1254750532 | Reassigns benefits to 1 organization |
| I20210122001737 | WI | Practitioner - Nurse Practitioner | 1254750532 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients | |
| Ecumen | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1001 E Superior St
Ste L401
Duluth, MN 55802
Phone (218) 249-7960
1001 E Superior St
Ste 401
Duluth, MN 55802
Phone (218) 249-6523
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900
Interoperability endpoints
- eabernethy237332@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7495 | MN | Yes |
Addresses
Primary practice location
1001 E Superior St Ste 401
Duluth, MN 55802-2229
Mailing address
1001 E Superior St Ste 401
Duluth, MN 55802-2229
Phone (218) 249-6500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Other providers in Duluth, MN
- Peter Aas
- Ab - Health Alliance & Enterprise LLC
- Jenna Abbott
- Hibo Abdi I
- Eric Abelow-Blakeley
- Abibat Omowunmi Abiola
- Bethany J Ablan
- Above & Beyond Consulting LLC
- Tiffany M Abrahamian
- Accend Services Incorporated
All providers in Duluth, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.