Active NPI
Julie S Gerndt, MD
- Psychiatry Physician
- Mankato, MN
National Provider Identifier
1568441863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30767
- Practice address
- Madison East Center
Ste 352 Mankato Clinic Department of Psychiatry
Mankato, MN 56001 - Phone
- (507) 387-3195
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30767 | MN | Primary |
Addresses
Primary practice location
Madison East Center
Ste 352 Mankato Clinic Department of Psychiatry
Mankato, MN 56001
Mailing address
PO Box 8674
Mankato Clinic LTD
Mankato, MN 56002-8674
Phone (507) 625-1811
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260050340 | Other | RR MEDICARE | |
| 410849339 56001 C024 | Other | CHAMPUS | |
| 939785000 | Medicaid | MN | |
| HP36767 | Other | MN | HEALTH PARTNERS |
| NA2951015938 | Other | MN | PREFERRED ONE |
| 0572164 | Medicaid | IA | |
| 116333 | Other | MN | U CARE |
| 388R9GE | Other | MN | BC BS |
| 771664 | Other | MN | AMERICAS PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1568441863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8674",
"address_2": "MANKATO CLINIC LTD",
"city": "MANKATO",
"state": "MN",
"postal_code": "560028674",
"telephone_number": "507-625-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADISON EAST CENTER",
"address_2": "STE 352 MANKATO CLINIC DEPARTMENT OF PSYCHIATRY",
"city": "MANKATO",
"state": "MN",
"postal_code": "56001",
"telephone_number": "507-387-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNDT",
"first_name": "JULIE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "30767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "260050340",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "410849339 56001 C024",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "939785000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP36767",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "NA2951015938",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0572164",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "116333",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "388R9GE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "771664",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.