Emily Kate Wild, CNP
Individual provider Active NPI Family Nurse Practitioner · Cook, MN
NPI 1578211595 · NPPES record last updated Nov 6, 2022
Key facts
- NPI
- 1578211595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9689 (MN)
- Practice address
- 20 5TH St SE
Cook, MN 55723-9702 - Phone
- (218) 666-5941
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 39
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Duluth Clinic LTD
Cook Area Health Services, Inc
Practice addresses (Care Compare)
1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150
20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941
Hospital & facility affiliations
- Essentia Health Virginia
- Cook Hospital
- Essentia Health St Mary'S Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20230306002560 | MN | Practitioner - Nurse Practitioner | 7810360211 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2224114 | MN | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Area Health Services, Inc | Current | Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| Pine Medical Center | Current |
Accepting new patients | |
| The Duluth Clinic, LTD | Current |
Accepting new patients | |
| Cook Area Health Services, Inc | Current |
Accepting new patients | |
| Cook Area Health Services, Inc | Current |
Accepting new patients | |
| Pine Medical Center | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Deer River Healthcare Center, Inc | Current |
Accepting new patients |
Locations
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
20 5th St SE
Cook, MN 55723
Phone (218) 666-5941
115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275
115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 2224114 | MN | |
| Family Nurse Practitioner | 363LF0000X | 9689 | MN | Yes |
Addresses
Primary practice location
20 5TH St SE
Cook, MN 55723-9702
Mailing address
4396 Oakhurst Ave
Vadnais Heights, MN 55127-3589
Phone (218) 591-1678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9689 | Other | MN | MINNESOTA BOARD OF NURSING |
Other providers in Cook, MN
- True Care Medical Therapy Center Inc
- Turning Point Counseling PA
- Fred Lawrence Webber
- Kiara Westendorf
- Robert Alan Wightman
- Celin R Williams
All providers in Cook, MN · Family 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 Nov 6, 2022. 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.