Individual provider Active NPI

Karen Uecker-Bezdicek, F-CNP

  • Family Nurse Practitioner
  • Mountain Lake, MN
National Provider Identifier
1588661995
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R119930-5 Issued in MN
Practice address
308 8TH St N
Mountain Lake, MN 56159-1568
Phone
(507) 427-3332
Fax
(507) 427-2493
NPI assigned
Jun 30, 2005
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 145 MN
Family Nurse Practitioner 363LF0000X R119930-5 MN Primary

Addresses

Primary practice location

308 8TH St N
Mountain Lake, MN 56159-1568

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

Other practice location 2

308 8th St N
Mountain Lake, MN 56159-1568
Phone (507) 427-3332

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
I20041105000741 MN Practitioner - Nurse Practitioner 0648233171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277

308 8TH St N
Mountain Lake, MN 56159-1568
Phone (507) 427-3332

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic Nurse Practitioner CurrentSince Apr 11, 2005 Accepting new patients
Sanford Clinic CurrentSince Apr 11, 2005 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Jan 1, 2017 Accepting new patients
Sanford Health Network CurrentSince Jul 2, 2015 Accepting new patients
Sanford Health Network Nurse Practitioner CurrentSince Jul 2, 2015 Accepting new patients
Sanford Health Network Nurse Practitioner Current Accepting new patients
Sanford Health Network PastSince Jun 28, 2020 Accepting new patients
Sanford Clinic Nurse Practitioner Past Accepting new patients
Primary Specialists Past Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

308 8th St N
Mountain Lake, MN 56159
Phone (507) 427-3332

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

830 8th St
Walnut Grove, MN 56180
Phone (507) 859-2157

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

591 2nd Ave N
Windom, MN 56101
Phone (507) 831-2223

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1588661995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 8TH ST N",
            "city": "MOUNTAIN LAKE",
            "state": "MN",
            "postal_code": "561591568",
            "telephone_number": "507-427-3332",
            "fax_number": "507-427-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "MN",
            "postal_code": "56031",
            "country_code": "US",
            "telephone_number": "507-238-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 8th St N",
            "address_purpose": "LOCATION",
            "city": "Mountain Lake",
            "state": "MN",
            "postal_code": "561591568",
            "country_code": "US",
            "telephone_number": "507-427-3332",
            "fax_number": "507-427-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UECKER-BEZDICEK",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "F-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2024-04-26",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R119930-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lake, MN

Sources for this page

Verify at the official NPI Registry.