Annie Margaret Gerhardt, APRN-BC, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Devils Lake, ND
NPI 1811932387 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1811932387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R27319 (ND)
- Practice address
- 1001 7TH Street NE
Devils Lake, ND 58301-1100 - Phone
- (701) 662-2157
- Fax
- (701) 662-4116
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Altru Health System
Practice addresses (Care Compare)
1001 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2157
Hospital & facility affiliations
- Altru Hospital
- CHI St Alexius Health Devils Lake
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- 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 |
|---|---|---|---|---|
| I20040309000183 | ND | Practitioner - Nurse Practitioner | 6608764931 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R27319 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current |
Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current |
Accepting new patients | |
| Presentation Medical Center | Past | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients |
Locations
1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R27319 | ND | |
| Family Nurse Practitioner | 363LF0000X | R27319 | ND | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R27319 | ND | Yes |
Addresses
Primary practice location
1001 7TH Street NE
Devils Lake, ND 58301-1100
Mailing address
PO Box 13780
Grand Forks, ND 58208
Phone (701) 662-2157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19743 | Medicaid | ND | |
| P00046239 | Other | ND | RR MEDICARE |
Other names
- Miss Annie Margaret Long
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agerhardt8195@direct.directaltru.org | Direct |
Other providers in Devils Lake, ND
- Rachel Anne Frelich
- Nathan Lyle Fritz
- Jessica M Garza
- Rose E Garza
- Paul Kim Georgeson
- Heather Ann Gibbens
- Kirstie Gillett
- Dana Gladue
- Ladene Gladue
- Shayna Marie Glaser
All providers in Devils Lake, ND · Psychiatric/Mental Health Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. 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.