Deanna T Pepper, RN, MSN, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R-149354-8 Issued in MN

Practice address

40520 Cty Hwy 34
White Earth Indian Health Service
Ogema, MN 56569-9612

Phone

(218) 983-6212

Fax

(218) 983-6369

NPI assigned

May 3, 2006

Last updated

Mar 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Deanna T Myerchin Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Naytahwaush Health Center

  dba White Earth Health Center

  • Federal Public Health Clinic/Center
  • Mahnomen, MN
  • NPI 1740202308
  NPD
• Pine Point Health Station

  dba White Earth Health Center

  • Federal Public Health Clinic/Center
  • Ponsford, MN
  • NPI 1679587331
  NPD
• White Earth Indian Health Center

  dba White Earth Health Center

  • Federal Public Health Clinic/Center
  • Ogema, MN
  • NPI 1093761710
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1669430245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40520 CTY HWY 34",
            "address_2": "WHITE EARTH INDIAN HEALTH SERVICE",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-6212",
            "fax_number": "218-983-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40520 CTY HWY 34",
            "address_2": "WHITE EARTH INDIAN HEALTH SERVICE",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-6212",
            "fax_number": "218-983-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "DEANNA",
        "middle_name": "T",
        "credential": "RN, MSN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "R-149354-8",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1493548",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "R1493548",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MN",
            "license": "R1493548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "MYERCHIN",
            "middle_name": "T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna L Murray, LICENSED PRACTICAL N
• Tori Ann Ohman, PHARMD
• Maxine Lamae Olson, RN
• Lawrence Patnaude, PHARMD
• Joanne Pelham, MEDICAL TECHNICIAN
• Jeralyn Marlo Peterson, RDH
• Mark L Peterson, OTR
• PHS IHS
• Ashley Jean Piehl
• Marilyn Reinke, MEDICAL TECHNICIAN

• Women's Health Nurse Practitioner in Ogema, MN
• Providers in Ogema, MN by specialty
• Women's Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.