Active NPI
Megan Jennie Baertsch, NP
- Family Nurse Practitioner
- Duluth, MN
National Provider Identifier
1710275128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R 179432-8
- Practice address
- 1420 London Rd Ste 100
Duluth, MN 55805-2437 - Phone
- (218) 728-8548
- Fax
- (763) 450-3986
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R 179432-8 | MN | Primary |
Addresses
Primary practice location
1420 London Rd Ste 100
Duluth, MN 55805-2437
Mailing address
2824 Jean Duluth Rd
Duluth, MN 55804-2660
Phone (218) 780-7773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R 179432-8 | Other | MN | MN STATE LICENSURE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 179432-8 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1710275128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 JEAN DULUTH RD",
"city": "DULUTH",
"state": "MN",
"postal_code": "558042660",
"telephone_number": "218-780-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 LONDON RD STE 100",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052437",
"telephone_number": "218-728-8548",
"fax_number": "763-450-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAERTSCH",
"first_name": "MEGAN",
"middle_name": "JENNIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 179432-8",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN STATE LICENSURE",
"identifier": "R 179432-8",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.