Active NPI
Monica Ramona Van Watermeulen Fales
- Community Health Worker
- Marshall, MN
National Provider Identifier
1679437370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1521 Carlson St # 100
Marshall, MN 56258-2626 - Phone
- (507) 401-7268
- NPI assigned
- Dec 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MN | Primary |
Addresses
Primary practice location
1521 Carlson St # 100
Marshall, MN 56258-2626
Mailing address
1521 Carlson St # 100
Marshall, MN 56258-2626
Phone (507) 401-7268
Other practice location 1
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 401-7268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1679437370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 CARLSON ST # 100",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562582626",
"telephone_number": "507-401-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 CARLSON ST # 100",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562582626",
"telephone_number": "507-401-7268"
}
],
"practiceLocations": [
{
"address_1": "300 S Bruce St",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "MN",
"postal_code": "562581934",
"country_code": "US",
"telephone_number": "507-401-7268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN WATERMEULEN FALES",
"first_name": "MONICA",
"middle_name": "RAMONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.