Individual provider Active NPI

Annette Marie Pratt, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Park Rapids, MN
National Provider Identifier
1760209084
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12049 Issued in MN
Practice address
1011 1St St E Ste 5
Park Rapids, MN 56470-1764
Phone
(320) 321-9599
Fax
(877) 962-3624
NPI assigned
Sep 26, 2024
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12049 MN Primary

Addresses

Primary practice location

1011 1St St E Ste 5
Park Rapids, MN 56470-1764

Mailing address

1011 1St St E Ste 5
Park Rapids, MN 56470-1764
Phone (320) 321-9599

Other practice location 1

403 Main Ave S Ste 1
Park Rapids, MN 56470-1555
Phone (320) 321-9599

Other practice location 2

18846 Eagle Bend Rd
Park Rapids, MN 56470-2073
Phone (218) 732-3721

Other practice location 3

808 Washington Ave Ste 15A
Detroit Lakes, MN 56501-3039
Phone (320) 321-9599

Other practice location 4

105 Spruce St NW
Remer, MN 56672-4301
Phone (218) 670-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114002197 MN Practitioner - Nurse Practitioner 8022542992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enlightenment Psychiatry LLCGroup PAC ID 0143607440, 3 clinicians

Practice addresses (Care Compare)

1011 1St St E
Suite 5
Park Rapids, MN 56470-1764
Phone (320) 321-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12049MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightenment Psychiatry LLC CurrentSince Oct 29, 2024 Accepting new patients
Care-Age Country Home Past Accepting new patients

Locations

808 Washington Ave
Ste 15A
Detroit Lakes, MN 56501
Phone (320) 321-9599

1011 1st St E
Ste 5
Park Rapids, MN 56470
Phone (320) 321-9599

18846 Eagle Bend Rd
Park Rapids, MN 56470
Phone (218) 732-3721

403 Main Ave S
Ste 1
Park Rapids, MN 56470
Phone (320) 321-9599

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1760209084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 1ST ST E STE 5",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701764",
            "telephone_number": "320-321-9599",
            "fax_number": "877-962-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 1ST ST E STE 5",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701764",
            "telephone_number": "320-321-9599",
            "fax_number": "877-962-3624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Main Ave S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701555",
            "country_code": "US",
            "telephone_number": "320-321-9599",
            "fax_number": "877-962-3624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18846 Eagle Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564702073",
            "country_code": "US",
            "telephone_number": "218-732-3721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 Washington Ave Ste 15A",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565013039",
            "country_code": "US",
            "telephone_number": "320-321-9599",
            "fax_number": "877-962-3624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Spruce St NW",
            "address_purpose": "LOCATION",
            "city": "Remer",
            "state": "MN",
            "postal_code": "566724301",
            "country_code": "US",
            "telephone_number": "218-670-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.