Individual provider Active NPI

Patricia Josephine Herron, APRN, BC, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Brainerd, MN
National Provider Identifier
1851457782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
R106085-8 Issued in MN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000593 MN Practitioner - Certified Clinical Nurse Specialist (CNS) 7719162817 Reassigns benefits to 1 organization

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
Mental Health Counseling Services LLCGroup PAC ID 3173675790, 23 clinicians

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

LicenseStateTypeSpecialty
R106085-8MNMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Counseling Services, LLC Psychiatric/Mental Health, Adult CurrentSince Feb 6, 2011 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.

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

Verify at the official NPI Registry.