Active NPI
Makenna R Pechumer, CNP
- Gerontology Nurse Practitioner
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 7361
- Practice address
- 2620 Eagan Woods Dr
Eagan, MN 55121-1138 - Phone
- (651) 968-5201
- NPI assigned
- Jul 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 10403 | WI | |
| Gerontology Nurse Practitioner | 363LG0600X | 7361 | MN | Primary |
Addresses
Primary practice location
2620 Eagan Woods Dr
Eagan, MN 55121-1138
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10025 Antrim CT
Woodbury, MN 55129-9341
Phone (617) 600-0549
401 Finvold St
Woodville, WI 54028-9719
Phone (715) 600-0549
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Hometown Physician Services MD, S.C. | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Summit Orthopedics, LTD | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
2620 Eagan Woods Dr
Ste 100
Eagan, MN 55121
Phone (651) 968-5230
1285 Nininger Rd
Ste 107
Hastings, MN 55033
Phone (651) 968-5412
8687 Eagle Point Blvd
Lake Elmo, MN 55042
Phone (715) 600-0549
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
319 S Main St
River Falls, WI 54022
Phone (715) 425-6701
Interoperability endpoints
- makennapechumer@sol.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
-
- Clinic/Center
- Woodbury, MN
- NPI 1558870196
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1740807809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 EAGAN WOODS DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211138",
"telephone_number": "651-968-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECHUMER",
"first_name": "MAKENNA",
"middle_name": "R",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "10403",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "7361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.