Individual provider Active NPI

Deborah S Colon, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Appleton, MN
National Provider Identifier
1629024823
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1751 Issued in MN
Practice address
30 S Behl St
Appleton, MN 56208-1616
Phone
(320) 289-1580
NPI assigned
May 26, 2006
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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 R1459773 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1751 MN Primary

Addresses

Primary practice location

30 S Behl St
Appleton, MN 56208-1616

Mailing address

30 S Behl St
Appleton, MN 56208-1616
Phone (320) 289-1580

Other names 1

  • Deborah S Yeager Former name

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
I20050124000654 MN Practitioner - Nurse Practitioner 7719937192 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appleton Area HealthGroup PAC ID 7618952565, shared by 4 NPIs, 18 clinicians

Practice addresses (Care Compare)

30 S Behl St
Appleton, MN 56208-1616
Phone (320) 289-2422

323 W Schlieman Ave
Appleton, MN 56208-1213

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Services Current Accepting new patients
Johnson Memorial Health Services CurrentSince Apr 20, 2020 Accepting new patients
Appleton Area Health CurrentSince Jan 1, 2019 Accepting new patients
Appleton Area Health Current Accepting new patients
Appleton Area Health CurrentSince Jan 1, 2019 Accepting new patients
Johnson Memorial Health Services Current Accepting new patients
Johnson Memorial Health Services CurrentSince Apr 20, 2020 Accepting new patients
Sanford Health Network PastSince Jun 28, 2020 Accepting new patients
Sanford Health Network Past Accepting new patients

Locations

1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323

Organizations & group practices 9

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 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1629024823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S BEHL ST",
            "city": "APPLETON",
            "state": "MN",
            "postal_code": "562081616",
            "telephone_number": "320-289-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S BEHL ST",
            "city": "APPLETON",
            "state": "MN",
            "postal_code": "562081616",
            "telephone_number": "320-289-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R1459773",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "YEAGER",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, MN

Sources for this page

Verify at the official NPI Registry.