Loretta Minor, CNP, AGNP
Individual provider Active NPI Adult Health Nurse Practitioner · Baldwin, WI
NPI 1750007985 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1750007985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 9609 (MN)
- Practice address
- 990 Main St
Suite 1
Baldwin, WI 54002 - Phone
- (715) 629-1888
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
990 Main St
Suite 1
Baldwin, WI 54002-3215
Phone (715) 629-1888
Hospital & facility affiliations
- Adoray Home Health and Hospice
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221129002001 | MN | Practitioner - Nurse Practitioner | 7012385800 | Reassigns benefits to 1 organization |
| I20250318000772 | WI | Practitioner - Nurse Practitioner | 7012385800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9609 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Valley Shared Services, Inc. | Current |
Accepting new patients | |
| Lifespark Medical Group, PA | Adult Health | Current |
Accepting new patients |
| St. Croix Valley Shared Services, Inc. | Current |
Accepting new patients |
Locations
5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 9609 | MN | Yes |
Addresses
Primary practice location
990 Main St
Suite 1
Baldwin, WI 54002
Mailing address
990 Main St
Suite 1
Baldwin, WI 54002
Other providers in Baldwin, WI
- Kimberly K McDonald
- Mediverse Health & Wellness LLC
- Michael Edward Meyers
- Cady Michelle Miller
- Jennifer Ann Miller
- Jimmy Morales
- Jordyn Marie Munneke
- Clemma J Nash
- Shonda Jean Nawrocki
- New Richmond Family Care, LLC
All providers in Baldwin, WI · Adult Health Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.