Gayatri Doshi, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Worthington, MN
NPI 1609266089 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1609266089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 10235 (MN)
- Practice address
- 1210 5TH Ave
Worthington, MN 56187-2432 - Phone
- (507) 376-4141
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southwestern Mental Health Center Inc
Practice addresses (Care Compare)
117 S Spring St
Luverne, MN 56156-1916
Phone (507) 283-9511
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, CA
- 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 |
|---|---|---|---|---|
| I20230927001085 | MN | Practitioner - Nurse Practitioner | 9739533670 | Reassigns benefits to 1 organization |
| I20260511000421 | CA | Practitioner - Nurse Practitioner | 9739533670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10235 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Mental Health Center Inc | Current |
Accepting new patients |
Locations
117 S Spring St
Luverne, MN 56156
Phone (507) 283-9511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95022791 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10235 | MN | Yes |
Addresses
Primary practice location
1210 5TH Ave
Worthington, MN 56187-2432
Mailing address
850 Lucy Dr
Worthington, MN 56187-3105
Phone (626) 392-7013
Other providers in Worthington, MN
- Diagnostic Radiologic Imaging PA
- Diane Dunn, LLC
- Charles Okechukwu Dike
- Nichole Marie Dillon
- James Michael Donohue
- David Dragas
- Diane Kaye Dunn
- Krzysztof Piotr Dygulski
- E.T. McNiece DDS, P.a.
- Dale Keith Eads
All providers in Worthington, MN · Psychiatric/Mental Health 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 Jul 3, 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).
- 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.