Gwen Michelle Horter
Individual provider Active NPI Registered Dietitian · Perham, MN
NPI 1588936660 · NPPES record last updated Feb 3, 2012
Key facts
- NPI
- 1588936660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2819 (MN)
- Practice address
- 1000 Coney St W
Perham, MN 56573-2102 - Phone
- (218) 347-4500
- NPI assigned
- Feb 3, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.39 of 100
- Quality
- 91.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231116003180 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 2163879891 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current |
Accepting new patients | |
| Perham Hospital District | Current |
Accepting new patients |
Locations
1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2819 | MN | Yes |
Addresses
Primary practice location
1000 Coney St W
Perham, MN 56573-2102
Mailing address
834 Shorewood Dr
Detroit Lakes, MN 56501-4905
Phone (701) 520-0855
Other providers in Perham, MN
- Alexandra Nicole Hendrickx
- Chelsey M Hendrickx
- Stephen R Hietala
- Marilyn Hofland
- Jennifer Holmer
- Ind School Dist 549
- Ind School Dist 549
- Integrity Counseling
- Winnie James
- Anna Ruth Janke
All providers in Perham, MN · Registered Dietitian in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2012. 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.
- 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.