Active NPI
Mary A Meierhoff, WHCNP
- Women's Health Nurse Practitioner
- Duluth, MN
National Provider Identifier
1619948916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R057278-7
- Practice address
- 1001 E Central Entrance
Suite 200
Duluth, MN 55811-5520 - Phone
- (218) 722-0833
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R057278-7 | MN | Primary |
Addresses
Primary practice location
1001 E Central Entrance
Suite 200
Duluth, MN 55811-5520
Mailing address
One Waterfront Plaza
Duluth, MN 55802
Phone (218) 722-5484
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07-04528 | Other | MEDICA | |
| 135391 | Other | UCARE | |
| HP55632 | Other | HEALTH PARTNERS | |
| 1006717 | Other | PREFERRED ONE | |
| 395G3ME | Other | MN | BCBS MN |
| 790342100 | Medicaid | MN | |
| 686271 | Other | AMERICA'S PPO (ARAZ) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R057278-7 | MN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619948916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE WATERFRONT PLAZA",
"city": "DULUTH",
"state": "MN",
"postal_code": "55802",
"telephone_number": "218-722-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E CENTRAL ENTRANCE",
"address_2": "SUITE 200",
"city": "DULUTH",
"state": "MN",
"postal_code": "558115520",
"telephone_number": "218-722-0833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIERHOFF",
"first_name": "MARY",
"middle_name": "A",
"credential": "WHCNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "R057278-7",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "07-04528",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "135391",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP55632",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1006717",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "395G3ME",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790342100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO (ARAZ)",
"identifier": "686271",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.