Individual provider Active NPI

Anneliese M Cuttle, MD

  • Emergency Medicine Physician
  • Duluth, MN
National Provider Identifier
1649569864
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
67285 Issued in MN
Practice address
407 E 3Rd St
Duluth, MN 55805-1950
Phone
(218) 786-4000
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 805320 WI
Emergency Medicine Physician 207P00000X 52707 TN
Emergency Medicine Physician 207P00000X 67285 MN Primary

Addresses

Primary practice location

407 E 3Rd St
Duluth, MN 55805-1950

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200803001794 MN Practitioner - Emergency Medicine 7113177874 Reassigns benefits to 13 organizations
I20200803002028 WI Practitioner - Emergency Medicine 7113177874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Health CenterGroup PAC ID 2062326820, 190 clinicians
Essentia Health Virginia LLCGroup PAC ID 7810149002, 64 clinicians

Practice addresses (Care Compare)

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611

901 9TH St N
Virginia, MN 55792-2325
Phone (218) 741-3340

Hospital & facility affiliations

  • St Marys Hospital Superior Hospital, Superior, WI, CCN 521329
  • Essentia Health Northern Pines Medical Center Hospital, Aurora, MN, CCN 241340
  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002
  • Essentia Health Moose Lake Hospital, Moose Lake, MN, CCN 241350
  • Essentia Health Sandstone Hospital, Sandstone, MN, CCN 241309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
805320WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essentia Health Virginia, LLC CurrentSince Aug 31, 2020 Accepting new patients
Essentia Health Virginia, LLC CurrentSince Aug 31, 2020 Accepting new patients
Essentia Health Moose Lake CurrentSince Nov 1, 2020 Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
Essentia Health Moose Lake CurrentSince Nov 1, 2020 Accepting new patients
St Joseph'S Medical Center CurrentSince Aug 4, 2022 Accepting new patients
The Duluth Clinic LTD CurrentSince Jul 8, 2025 Accepting new patients
St Mary'S Hospital of Superior CurrentSince Jul 8, 2020 Accepting new patients
Northern Pines Medical Center Current Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
Northern Pines Medical Center CurrentSince Aug 31, 2020 Accepting new patients
St. Mary'S Duluth Clinic Health System Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jul 8, 2025 Accepting new patients
Pine Medical Center CurrentSince Aug 31, 2020 Accepting new patients
Pine Medical Center CurrentSince Aug 31, 2020 Accepting new patients
St Marys Medical Center CurrentSince Aug 31, 2020 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Aug 31, 2020 Accepting new patients
St. Mary'S Hospital of Superior CurrentSince Jul 1, 2025 Accepting new patients
Northern Pines Medical Center CurrentSince Aug 31, 2020 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Aug 31, 2020 Accepting new patients
St. Joseph'S Medical Center CurrentSince Aug 4, 2022 Accepting new patients
St. Mary'S Hospital of Superior CurrentSince Jul 8, 2020 Accepting new patients
St. Mary'S Medical Center CurrentSince Aug 31, 2020 Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 38

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

View all 38

Hospital & facility affiliations 10

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1649569864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051950",
            "telephone_number": "218-786-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTLE",
        "first_name": "ANNELIESE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "805320",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "52707",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "67285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.