NPIMap

Individual provider Active NPI

Theresa Hurley, CNP

  • Nurse Practitioner
  • Eagan, MN
National Provider Identifier
1689077232
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0714534 Issued in MN
Practice address
4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235
Phone
(866) 389-2727
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2660 MN
Nurse Practitioner 363L00000X F0714534 MN Primary

Addresses

Primary practice location

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235

Mailing address

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235

Other identifiers 1

IdentifierTypeStateIssuer
1689077232MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA, SD3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141201002346 MN Practitioner - Nurse Practitioner 2769704725 Reassigns benefits to 2 organizations
I20250121001092 IA Practitioner - Nurse Practitioner 2769704725 Reassigns benefits to 1 organization
I20250916004454 SD Practitioner - Nurse Practitioner 2769704725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians
MRH CorpGroup PAC ID 1355770892, shared by 5 NPIs, 36 clinicians

Practice addresses (Care Compare)

1420 N 10TH St
Spearfish, SD 57783-1532
Phone (605) 717-8595

492 Main St
Corinth, ME 04427-3273
Phone (207) 285-3435

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
83.31
Improvement activities
40
Cost
83.17

Merit-based Incentive Payment System (MIPS)

Final score
59.22 of 100Reported as group
Quality
26.66
Promoting interoperability
100
Improvement activities
0
Cost
80.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0714534MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Network, Inc. CurrentSince Jul 22, 2025 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 20, 2025 Accepting new patients
Group Health, Inc. CurrentSince Jan 25, 2016 Accepting new patients
Monument Health Network, Inc. CurrentSince Jul 22, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jun 20, 2025 Accepting new patients
Sanford Health Network Nurse Practitioner Current Accepting new patients
Group Health, Inc. CurrentSince Jan 25, 2016 Accepting new patients
Group Health, Inc. Current Accepting new patients
Trinity Regional Medical Center CurrentSince Jan 13, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Sanford Health Network CurrentSince Apr 1, 2024 Accepting new patients
Sanford Health Network CurrentSince Apr 1, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

375 Berky Dr
Box Elder, SD 57719

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

2116 Jackson Blvd
Rapid City, SD 57702
Phone (605) 755-3300

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414

Organizations & group practices 14

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 14

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1689077232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 JOHNNY CAKE RIDGE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 JOHNNY CAKE RIDGE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222235",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "THERESA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2660",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "F0714534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689077232",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.