Individual provider Active NPI

Robert James Daun, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Park Rapids, MN
National Provider Identifier
1649899238
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7349 Issued in MN
Practice address
58714 Frazier St
Park Rapids, MN 56470-3053
Phone
(507) 301-2627
NPI assigned
Apr 13, 2020
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7349 MN Primary

Addresses

Primary practice location

58714 Frazier St
Park Rapids, MN 56470-3053

Mailing address

58714 Frazier St
Park Rapids, MN 56470-3053
Phone (507) 301-2627

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
I20201030002169 MN Practitioner - Nurse Practitioner 0143649061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

58714 Frazier St
Park Rapids, MN 56470-3053
Phone (507) 301-2627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7349MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Secure Base Counseling Center LLC Single Specialty CurrentSince Jul 14, 2020 Accepting new patients
North Country Psychiatry Single Specialty CurrentSince Feb 1, 2021 Accepting new patients

Locations

1082 Highway 3 S
Northfield, MN 55057
Phone (507) 301-6657

570 Professional Dr
Northfield, MN 55057
Phone (507) 301-3412

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1649899238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58714 FRAZIER ST",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564703053",
            "telephone_number": "507-301-2627",
            "fax_number": "763-710-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58714 FRAZIER ST",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564703053",
            "telephone_number": "507-301-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUN",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.