Active NPI
Patricia Josephine Herron, APRN, BC, CNS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Brainerd, MN
National Provider Identifier
1851457782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R106085-8
- Practice address
- 520 NW 5TH St
Brainerd, MN 56401-2902 - Phone
- (218) 829-3235
- Fax
- (218) 829-1368
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R106085-8 | MN | Primary |
Addresses
Primary practice location
520 NW 5TH St
Brainerd, MN 56401-2902
Mailing address
13205 57TH Ave SW
Motley, MN 56466-2163
Phone (218) 746-3365
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2419
Phone (612) 436-0295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R106085-8 | MN | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Counseling Services, LLC | Psychiatric/Mental Health, Adult | Current | Accepting new patients |
| Kenwood Therapy Center, LLC | Past | Accepting new patients |
Locations
615 1st Ave NE
Ste 310
Minneapolis, MN 55413
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1679717524
Psychiatric/Mental Health, Adult
-
- Mental Health Counselor
- Minneapolis, MN
- NPI 1144271230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851457782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13205 57TH AVE SW",
"city": "MOTLEY",
"state": "MN",
"postal_code": "564662163",
"telephone_number": "218-746-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 NW 5TH ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564012902",
"telephone_number": "218-829-3235",
"fax_number": "218-829-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "PATRICIA",
"middle_name": "JOSEPHINE",
"credential": "APRN, BC, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "R106085-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.