Active NPI
Ethan Douglas Buehl, APRN, CNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 13830
- Practice address
- 3674 S Washington St
Grand Forks, ND 58201-5766 - Phone
- (701) 205-3000
- Fax
- (701) 732-2501
- NPI assigned
- Jan 30, 2026
- Last updated
- Jul 9, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13830 | MN | Primary |
Addresses
Primary practice location
3674 S Washington St
Grand Forks, ND 58201-5766
Mailing address
PO Box 5210
Grand Forks, ND 58206-5210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, AK, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3674 S Washington St
Grand Forks, ND 58201-5766
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13830 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Medical Clinics, LLC | Current | Accepting new patients |
Locations
205 E Benson Blvd
Ste 401
Anchorage, AK 99503
519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700
4501 15th Ave SW
Ste 105
Fargo, ND 58103
3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538
Organizations & group practices 3
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.
-
dba Rural Psychiatry Associates
- Multi-Specialty Clinic/Center
- Grand Forks, ND
- NPI 1699295774
AK, MN
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1669322533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5210",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582065210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3674 S WASHINGTON ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015766",
"telephone_number": "701-205-3000",
"fax_number": "701-732-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUEHL",
"first_name": "ETHAN",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "APRN, CNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-30",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "13830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.