Karen Bartron-Sundeen, C-FNP
Individual provider Active NPI Family Nurse Practitioner · Brainerd, MN
NPI 1588022958 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1588022958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R105636-7 (MN)
- Practice address
- 722 NW 7TH St
Brainerd, MN 56401-2912 - Phone
- (218) 855-1115
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20230419001108 | MN | Order and Referring Only - Nurse Practitioner | 6204131444 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R105636-7 | MN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R105636-7 | MN | Yes |
Addresses
Primary practice location
722 NW 7TH St
Brainerd, MN 56401-2912
Mailing address
722 NW 7TH St
Brainerd, MN 56401-2912
Phone (218) 855-1115
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588022958 | Medicaid | MN |
Other providers in Brainerd, MN
- Anna Bankey
- Barnabas Health Care Services, Inc.
- Courtney Barry
- Annette F Bartel
- Jessica J Barto
- Nancy Baxter
- Donn C Beaubien
- Alle C Bebeau
- Julienne Elaine Becker
- Kimberly J. Becker
All providers in Brainerd, 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 Apr 26, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.